Coding Auditor - Professional

10 Sarah Bush Lincoln Health Center; Illinois; Hybrid; USD 32,883 - 50,971; Full time

Benefits offered by this job

Tuition reimbursement

Health, dental, and vision coverage

Professional development opportunities

Job summary

10 Sarah Bush Lincoln Health Center seeks a Coding Auditor - Professional to ensure proper coding for clinic services. This full-time role involves assisting coders, conducting audits, and maintaining high accuracy in documentation.

Ideal candidates will have a high school diploma and relevant certifications like CPC and CEMA. The position offers remote or hybrid work opportunities within specific states.

Benefits include tuition reimbursement and comprehensive health coverage.

Qualifications

• High School Diploma required.
• CEMA must be obtained within 6 months of hire.
• CPC certification is necessary.
• CPMA must be obtained within 1 year of hire.
• RHIT or RHIA from AHIMA required.

Responsibilities

• Assist coders with coding questions.
• Conduct provider and coder audit collection and reporting.
• Work with providers to ensure appropriate documentation.
• Maintain 95% accuracy in coding.
• Train new coding staff.

Skills

Attention to detail

Coding questions assistance

Education on coding principles

Accuracy in coding

Education

High School Diploma

Certified Evaluation & Management Auditor (CEMA)

Certified Professional Coder (CPC)

Certified Professional Medical Auditor (CPMA)

Registered Health Information Technician (RHIT)

Registered Health Info Administrator (RHIA)

Job description

Coding Auditor - Professional

Department: Physician coding

Hours: Full-Time (40 hours per week)

Location: Remote or onsite. Must reside in one of the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas.

Pay: Starts at \$23.87/hour, based on experience. Estimated compensation range \$23.87 - \$37.00.

Responsibilities

• Assist coders with coding questions.
• Conduct collection and reporting of provider and coder audit results and education.
• Work with coders and providers to ensure appropriate documentation for clinic services.
• Report results to Coding Supervisor – Professional.
• Demonstrate ability to code all types of encounters.
• Maintain 95% accuracy in diagnoses and procedures coding.
• Ensure data quality and optimum reimbursement under federal and state payment systems.
• Identify and refer trend patterns of coding and documentation to Coding Supervisor.
• Perform coding quality audits for E/M Audit Program; analyze and confirm accuracy of EM code level selection and diagnoses/procedures codes.
• Review records thoroughly to ascertain all diagnoses/procedures; code in accordance with ICD-CM, CPT coding principles, official guidelines and regulations.
• Train new coding staff on coding systems and processes.

Qualifications

• High School Diploma (required).
• Certified Evaluation & Management Auditor (CEMA) within 6 months of hire.
• Certified Professional Coder (CPC).
• Certified Professional Medical Auditor (CPMA) within 1 year of hire.
• Registered Health Information Technician (RHIT) or Registered Health Info Administrator (RHIA) from AHIMA.

Benefits

• Tuition reimbursement program for continuing education and on-site training.
• Comprehensive benefit package, including health, dental, and vision coverage.
• Professional development opportunities.

EEO Statement: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, or any other protected characteristic.