Coding Auditor - Professional

DaMar Staffing; United States; Hybrid; USD 33,000 - 51,000; Full time

Job summary

DaMar Staffing is seeking a Coding Auditor - Professional to audit coding assignments, train staff, and ensure accurate ICD-CM, CPT, and HCPCS coding. The role supports both remote and onsite work, with residency in eligible US states.

Required certifications include CPC, CEMA (within 6 months), CPMA (within 1 year), and a High School diploma. Compensation starts at $23.87/hour with potential for higher pay based on experience.

Qualifications

• High school diploma required.
• CEMA certification within 6 months of hire.
• CPMA certification within 1 year of hire.
• CPC certification is required.
• RHIT or RHIA certification through AHIMA preferred.

Responsibilities

• Assists coders with coding questions.
• Collects and reports provider and coder audit results and education.
• Ensures documentation for clinic services is appropriate.
• Reports results to Coding Supervisor - Professional.
• Demonstrates ability to code all types of encounters.
• Meets quality standards for accurate diagnoses and procedures coding.
• Ensures data quality and optimum reimbursement under federal/state systems.
• Refers trend patterns of coding and documentation to Coding Supervisor - Professional.
• Performs coding quality audits for the E/M Audit Program.
• Analyzes EM code level selection accuracy during audits.
• Verifies diagnoses/procedures per ICD-CM and CPT guidelines.
• Trains new coding staff on coding systems and processes.

Education

High School Diploma

CEMA - Certified Evaluation & Management Auditor

CPMA - Certified Professional Medical Auditor

RHIT - Registered Health Information Technician - AHIMA

RHIA - Registered Health Information Administrator - AHIMA

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 one experience, starting at $23.87/hour

Location: Remote or onsite: At this time, you must reside in one of the following locations:
Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas

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) - Sarah Bush Lincoln, Certified Professional Coder - Sarah Bush Lincoln, CPMA - Certified Professional Medical Auditor (within 1 year) - 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