Coding Auditor I

SCP Health; United States; A distancia; USD 65.000 - 90.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Work-life balance

Benefits package

Remote-friendly culture

Descripción de la vacante

At SCP Health, fully remote, you will contribute to high-quality clinical coding and auditing across multiple care settings. The role focuses on ensuring accurate coding, timely reviews, and adherence to HIPAA while supporting the ProCode auditing framework and quality services leadership.

Join a team that values collaboration and patient care, with opportunities to guide MIPS quality reviews and participate in system testing and process improvements within a nationwide, remote work setup.

Formación

• Experience in medical coding and auditing processes.
• Familiarity with HIPAA and privacy regulations.
• Ability to meet deadlines and work with reports.

Responsabilidades

• Perform coding, auditing, editing, and review processes for facility, coder, procedure, query, nonbillable, and other items.
• Provide guidance on auditing, coding policies and procedures.
• Complete daily, weekly, and monthly tasks per the auditing plan.
• Conduct timely reviews to ensure deadlines are met.
• Utilize systems and reports to identify issues and determine training needs.

Descripción del empleo

Fully Remote

At SCP Health, what you do matters

As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.

Why you will love working here:

• Strong track record of providing excellent work/life balance.
• Comprehensive benefits package and competitive compensation.
• Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.

• Perform coding, auditing, editing, and review processes (facility, coder, procedure, query, nonbillable, code as is, and other) as required by ProCode.
• Provide guidance and feedback as it relates to auditing, coding and policies and procedures.
• Responsible for completion of daily, weekly, and monthly tasks as outlined in work/auditing plan.
• Perform timely reviews as necessary to ensure deadlines are met.
• Utilize available systems, resources, and reports to identify issues in order to assess and determine further coding, editing or auditing needs communicating coding issues/training needs to Coding Senior Auditor and/or Supervisor/Manager of Coding and Quality Services.
• Participate in system testing as needed to support ProCode’s processes and procedures.
• Provide guidance and assistance to global MIPS team as it relates to MIPS quality reviews.
• Comply with HIPAA requirements in relation to all chart activities.
• Comply with current ProCode policies and procedures.
• Maintain appropriate, accurate, and timely record keeping of all required documentation.
• Attend appropriate professional and educational meetings.

Pay Range:

This range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.