Coding Auditor - Professional

Sarah Bush Lincoln; Mattoon (IL); On-site; USD 33,000 - 51,000; Full time

Job summary

Sarah Bush Lincoln in Mattoon, IL is seeking a Coding Auditor-Professional to audit coding assignments, train staff, and manage E/M and modifier coding. You will work with providers, coders, nursing and external organizations to ensure accurate documentation and compliant coding.

Hours are full-time (40 hours per week). Requirements include High School Diploma; CPC, CEMA within 6 months; CPMA within 1 year. Compensation starts at $23.87/hour, with a range up to $37.00/hour based on experience.

Qualifications

• High School Diploma required.
• CPC certification required; CEMA within 6 months of hire; CPMA within 1 year of hire.

Responsibilities

• Audit coding assignments for accuracy and compliance.
• Train coding staff on ICD-CM, CPT, HCPCS, and E/M coding principles.
• Collaborate with providers, nursing, and outside entities to ensure proper documentation.
• Identify coding trends and report data quality issues to leadership.

Skills

Audit

Staff training

Interpersonal skills

Education

CPC

CEMA

CPMA

Job description

Coding Auditor - Professional

Job Description

Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.

Department: Physician coding

Hours: Full-Time, 40 hours a week required

Required: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hire

Pay: Based on experience, starting at $23.87/hour

Responsibilities

Assists coders with coding questions., Conducts the collection and reporting of provider and coder audit results and education. Works with coders and providers to ensure appropriate documentation for clinic services. Reports results to Coding Supervisor - Professional. Demonstrates ability to code all types of encounters. Meets quality standards of having 95% of diagnoses and procedures appropriately and/or correctly coded. Ensures data quality and optimum reimbursement allowable under the federal and state payment systems. Refers trend patterns of coding and documentation to Coding Supervisor - Professional. Responsible for coding quality audits for E/M Audit Program. Analyze and confirm assigned encounters for provider's selection of EM code level utilizing EM code level selection auditing tool are accurate. Analyze and confirm assigned encounters for coder's selection of diagnoses and procedures codes are accurate. Reviews record thoroughly to ascertain all diagnoses/procedures. Codes all diagnoses/procedures in accordance to ICD-CM and CPT coding principles, official guidelines and regulations. Trains new coding staff on coding systems and processes.

Requirements

High School (Required)CEMA - Certified Evaluation & Management Auditor (within 6 months of hire) - Sarah Bush Lincoln, Certified Professional Coder - Sarah Bush Lincoln, CPMA - Certified Professional Medical Auditor (within 1 year of hire) - Sarah Bush Lincoln, Registered Health Information Technician (RHIT) - American Health Information Management Association or Registered Health Info Administrator (RHIA) - American Health Information Management Association - American Health Information Management Association

Compensation

Estimated Compensation Range: $23.87 - $37.00. Pay based on experience