CODING AUDITOR

DaMar Staffing; Salina (KS); On-site; USD 52,000 - 75,000; Full time

Job summary

DaMar Staffing is seeking an Auditor to review inpatient and professional charts, ensuring accurate ICD-10 coding and DRG assignments to support proper reimbursement.

Responsibilities include auditing documentation, educating hospital and professional coding staff, and resolving discrepancies with AHIMA and AMA guidance.

Strong attention to detail and independent application of coding rules are essential for success in this role.

Qualifications

• High School diploma required.
• Coding certification for professional or acute required.
• 2 years coding or auditing experience required.
• CPC or RHIT registration/certification required.

Responsibilities

• Audit charts of professional or acute inpatient to ensure proper coding for reimbursement.
• Review documentation to ensure information supports code assignment.
• Educate coding staff and discuss discrepancies with guidance from AHIMA and AMA publications.

Education

High School diploma

Coding certification for professional or acute

Job description

POSITION SUMMARY

Audit charts of professional or acute inpatient to insure proper coding is assigned resulting in proper reimbursement for conditions treated, procedures performed, etc. Auditors will perform quality reviews on records coded by hospital coding staff as well as professional coding staff to validate that ICD 10 codes and DRG assignments are accurate and consistent with coding guidelines, insurance regulations and government rules and regulations. Documentation will be reviewed and educated on to insure all needed information is present in the record to support the code assignment. Any discrepancies or findings will be discussed in a collaborative manner and substantiated with coding guidance supported by AHIMA and as published by the American Medical Association. It is imperative for the auditor to be able to decipher rules and regulations and apply them to charts being audited independently and to educate in alliance with their findings.

POSITION QUALIFICATIONS

• Minimum Education
  • High School diploma required.
  • Coding certification for professional or acute required.
• Minimum Experience
  • 2 years coding or auditing experience required
• Required Registration/License/Certification
  • CPC or RHIT