Coding Auditor 1

Baylor Scott & White Health; Phoenix (AZ); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

401(k) savings plan with dollar-for-dl

Tuition Reimbursement

PTO accrual beginning Day 1

Job summary

Baylor Scott & White Health in Phoenix is seeking a Coding Auditor 1 to perform coding quality audits using ICD-10-CM/PCS, HCPCS, CPT and related references to support accurate classification and reimbursement.

You will collaborate with Clinical Documentation Specialists, provide constructive feedback, and help ensure compliant documentation across internal teams and third-party vendors. A strong knowledge of coding rules and HIPAA is essential.

Qualifications

• EDUCATION - H.S. Diploma/GED Equivalent.
• EXPERIENCE - 5 Years of Experience.
• CERTIFICATION/LICENSE/REGISTRATION - Must have one of these certifications and 5 years of coding experience. At least 1 year should be as a coding auditor.

Responsibilities

• Performs routine coding quality reviews on all coders including third party suppliers as appropriate.
• Performs coding quality reviews in collaboration with or for internal customers of the organization.
• Provides feedback as appropriate depending on findings.
• Abstracts and validates required data elements into the coding and abstracting system.
• Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for accurate, complete, and compliant documentation.
• Completes production coding when needed and assigned by one over.

Skills

Attention to detail

Communication skills

Analytical thinking

HIPAA knowledge

Team collaboration

Education

H.S. Diploma/GED Equivalent

5 Years of Experience

Tools

CCI Edits

Job description

About Us

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our Core Values are:

• We serve faithfully by doing what's right with a joyful heart.

• We never settle by constantly striving for better.

• We are in it together by supporting one another and those we serve.

• We make an impact by taking initiative and delivering exceptional experience.

Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

• Immediate eligibility for health and welfare benefits

• 401(k) savings plan with dollar-for-dollar match up to 5%

• Tuition Reimbursement

• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level.

Job Summary

The Coding Auditor 1 is skilled in various coding types. They perform coding quality audits and give feedback to coders. The Coding Auditor 1 uses ICD-10-CM/PCS, HCPCS, CPT, and other coding references. These references ensure accurate coding and classification assignment grouping, like MS-DRG, APR-DRG, and APC.

Essential Functions of the Role

• Performs routine coding quality reviews on all coders including third party suppliers as appropriate.

• Performs coding quality reviews in collaboration with or for internal customers of the organization.

• Provides feedback as appropriate depending on findings.

• Abstracts and validates required data elements into the coding and abstracting system.

• Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for accurate, complete, and compliant documentation.

• Completes production coding when needed and assigned by one over.

Key Success Factors

• Exceptional knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.

• Exceptional knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.

• Exceptional knowledge of anatomy, physiology, and medical terminology.

• Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.

• Exceptional knowledge of ICD-10-CM/PCS coding and/or CPT procedural coding.

• Ability to interpret health record documentation to identify procedures and services for accurate code assignment.

• Exceptional interpersonal verbal and written communication skills.

• Skill in the use of computers.

• Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non‑negotiables.

• Must have one of these registrations or certifications and 5 years of coding experience. At least 1 year should be as a coding auditor.

• Registered Health Information Administrator (RHIA)

• Registered Health Information Technologist (RHIT)

• Certified Coding Specialist (CCS)

• Certified Coding Specialist Physician-based (CCS-P)

• Certified Professional Coder (CPC)

• Certified Outpatient Coder (COC)

• Certified Inpatient Coder (CIC)

• Certified Interventional Radiology Cardiovascular Coder (CIRCC)

Belonging Statement

We believe that all people should feel welcomed, valued and supported.

QUALIFICATIONS

• EDUCATION - H.S. Diploma/GED Equivalent

• EXPERIENCE - 5 Years of Experience

• CERTIFICATION/LICENSE/REGISTRATION -

Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Inpatient Coder (CIC), Cert Interv Radiology CV Coder (CIRCC), Cert Outpatient Coder (COC), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), Reg Health Information Technic (RHIT): Must have one of these certifications and 5 years of coding experience. At least 1 year should be as a coding auditor.

As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.