Coding Auditor Educator (REMOTE)

Virtua; United States; Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a dedicated coding specialist to ensure high standards in hospital coding. This role involves overseeing coding quality, conducting audits, and providing essential training to new coders. You will collaborate with various hospital departments to resolve coding issues and develop compliance plans. With a focus on continuous improvement, you will also maintain and update coding systems to support operational excellence. If you have a passion for healthcare and coding, this is a fantastic opportunity to make a significant impact in a supportive environment.

Qualifications

• 3+ years of hospital coding experience required.
• Knowledge of coding standards including ICD-10-CM/PCS and CPT.

Responsibilities

• Provide training for new coders and monitor coding quality.
• Perform coding audits and manage external quality audits.
• Develop and enforce coding policies and compliance.

Skills

Inpatient and outpatient coding

ICD-10-CM/PCS

CPT coding

Auditing skills

Training and education development

Education

Bachelor’s Degree in Health Information Management

Coding Certificate

Associates Degree

Tools

Coding software

Job description

At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community.

If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.

In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.

Location:

100% Remote. Currently Virtua welcomes candidates for 100% remote positions from AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV only.

Employment Details:

• Type: Employee
• Classification: Regular
• Time: Full time
• Weekly Hours: 40

Additional Locations:

Various

Job Information:

• Occasional travel to South Jersey required
• Experience in inpatient and outpatient coding required
• Ability to develop training materials for coding team
• CCS certification preferred

Job Summary:

Responsible for hospital coding quality and standards development for ICD-10-CM/PCS, CPT, and HCPCS codes. Includes performing audits, overseeing external audits, and providing education and training to coders. Collaborates with hospital departments to resolve coding issues and develops compliance plans for hospital coding and abstracting. Participates in system maintenance for coding software.

Position Responsibilities:

Training and Education: Provides training for new coders, develops resources, and monitors coding quality and productivity.

Review and Resolution of Coding Issues: Works with hospital departments to resolve coding and reimbursement issues, educates staff, and recommends policy changes.

Auditing: Performs coding audits, manages external quality audits, and responds to payor audits.

Accounts Receivable: Monitors billing reports, troubleshoots account issues, and collaborates to improve workflow.

Policies and Procedures: Develops and enforces policies on coding and compliance.

System Maintenance: Maintains and updates coding systems, supports upgrades, and manages system downtime.

Qualifications:

Experience: 3 years hospital inpatient and outpatient coding experience. Knowledge of ICD-10-CM/PCS, CPT-4, DRGs, APCs, and CMI. Experience with multiple service lines preferred.

Education: Bachelor’s or Associates Degree in HIM, Coding Certificate, or equivalent experience. Certification as CCS by AHIMA required. RHIA/RHIT preferred.