Coding Auditor I - (Inpatient)

Baylor Scott & White Health; United States; Remote; USD 80,000 - 100,000; Full time

Job summary

An established industry player is seeking a Coding Auditor 1 to ensure coding accuracy and quality through audits and feedback. In this fully remote role, you will utilize your expertise in ICD-10-CM/PCS and CPT coding to perform thorough quality reviews and collaborate with clinical teams. With a focus on improving documentation and coding standards, this position offers a chance to make a real impact in healthcare. Join a forward-thinking organization that values your skills and provides a comprehensive benefits package from day one.

Benefits

Health and Welfare Coverage

401(k) with Matching

Tuition Reimbursement

PTO from Day 1

Qualifications

• Minimum of 5 years of coding experience, including 1 year as a coding auditor.
• Must possess one of the following certifications: RHIA, RHIT, CCS, CCS-P, COC, CIC, CPC, CIRCC.

Responsibilities

• Perform routine coding quality reviews on all coders, including third-party suppliers.
• Collaborate with internal customers to review coding quality and provide feedback.

Skills

ICD-10-CM/PCS Coding

CPT Procedural Coding

Knowledge of HIPAA

Medical Terminology

Interpersonal Skills

Computer Applications Proficiency

Education

High School Diploma or GED

Job description

Description

JOB SUMMARY

The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The role involves utilizing the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references to ensure accurate coding. References will be used to ensure correct classification grouping (e.g., MS-DRG, APR-DRG, APC, etc.).

WORK MODEL/SALARY

100% Remote

The pay range for this position is $32.02 (entry-level qualifications) to $49.63 (highly experienced). The specific rate will depend on the candidate's qualifications and prior experience.

ESSENTIAL FUNCTIONS OF THE ROLE

1. Perform routine coding quality reviews on all coders, including third-party suppliers.
2. Collaborate with internal customers to review coding quality and provide feedback.
3. Abstract and validate required data elements into the coding and abstracting system.
4. Work with Clinical Documentation Specialists to improve documentation accuracy and completeness.
5. Complete production coding as assigned.

KEY SUCCESS FACTORS

• Strong knowledge of coding rules, regulations, policies, and guidelines.
• Knowledge of transaction code sets, HIPAA, anatomy, physiology, and medical terminology.
• Proficiency in ICD-10-CM/PCS coding and CPT procedural coding.
• Ability to interpret health record documentation for accurate coding.
• Excellent interpersonal and communication skills.
• Proficiency with computer applications and coding edits.
• Flexibility and adaptability to regulatory and accreditation standards.

QUALIFICATIONS

• Must possess one of the following certifications: RHIA, RHIT, CCS, CCS-P, COC, CIC, CPC, CIRCC.
• Minimum of 5 years of coding experience, including at least 1 year as a coding auditor.

BENEFITS

Our benefits include health and welfare coverage, 401(k) with matching, tuition reimbursement, and PTO from Day 1. Benefits may vary based on position and level.

QUALIFICATIONS

• High School Diploma or GED.
• 5 years of coding experience.
• Relevant coding certifications as listed above.

Please refer to the company's website or job descriptions for more information.