Coding Auditor I: Quality & Compliance Reviewer

Baylor Scott & White Health; Columbus (OH); On-site; USD 55,000 - 85,000; Full time

Benefits offered by this job

Health benefits

401(k) match

Tuition Reimbursement

PTO Day 1

Job summary

Baylor Scott & White Health is seeking a Coding Auditor I to perform coding quality audits and provide feedback to coders. The role requires strong knowledge of ICD-10-CM/PCS, CPT, HIPAA, and data abstraction, with the ability to interpret health record documentation for accurate code assignment.

Collaboration with clinical documentation specialists is essential. Candidates should have at least 5 years of coding experience and one of the listed certifications, with a minimum of 1 year as a

Qualifications

• HS diploma or GED required.
• 5 years of experience in coding.
• Must have one of several certifications (RHIA, RHIT, CCS, CCS-P, CPC, COC, CIC, CIRCC) and at least 1 year as coding auditor.

Responsibilities

• Performs routine coding quality reviews on all coders including third party suppliers as appropriate.
• Performs coding quality reviews for internal customers of the organization.
• Provides feedback based on findings.
• Abstracts and validates data elements into coding/abstracting system.
• Collaborates with Clinical Documentation Specialists and Coaches to improve documentation accuracy.
• Completes production coding when needed.

Skills

ICD-10-CM/PCS

CPT coding

HIPAA knowledge

Coding audits

Data abstraction

Communication skills

Anatomy & physiology

Interpreting health records

CCI edits

Education

HS Diploma/GED

Tools

CCI edits

Job description

Baylor Scott & White Health is seeking a Coding Auditor I to perform coding quality audits and provide feedback to coders. The role requires strong knowledge of ICD-10-CM/PCS, CPT, HIPAA, and data abstraction, with the ability to interpret health record documentation for accurate code assignment.

Collaboration with clinical documentation specialists is essential. Candidates should have at least 5 years of coding experience and one of the listed certifications, with a minimum of 1 year as a