Coding Auditor (Remote based in US)

Tenet Healthcare; United States; Remote; USD 80,000 - 100,000; Full time

Job summary

An established industry player in healthcare is seeking a Coding Auditor to ensure compliance with coding guidelines and regulations. In this pivotal role, you will conduct audits, identify discrepancies, and collaborate with the coding team to enhance accuracy. Your expertise will guide the team in rectifying errors and providing necessary training, ensuring adherence to the latest standards. This role offers a dynamic environment where your contributions will significantly impact the organization's coding practices and compliance efforts. Join a forward-thinking company that values continuous improvement and professional development.

Benefits

Medical, Dental, and Vision Insurance

Paid Time Off

401k with Employer Match

10 Paid Holidays

Employee Assistance Program

Employee Discount Program

Health Savings Accounts

Flexible Spending Accounts

Voluntary Benefits

Paid Leave for Colorado Employees

Qualifications

• 5+ years of coding experience in a healthcare setting.
• Strong knowledge of ICD-10 and PCS coding guidelines.
• Ability to adapt to changing coding regulations.

Responsibilities

• Conduct audits of medical coding and documentation for compliance.
• Collaborate with coding team to provide education on guidelines.
• Generate reports on coding accuracy and compliance rates.

Skills

Coding Guidelines Knowledge

Attention to Detail

Analytical Skills

Communication Skills

Interpersonal Skills

Organizational Skills

Education

High School Diploma

Bachelor's Degree

RHIT/RHIA/CCS Credential

Tools

Coding Software

Electronic Health Record Systems

Job description

The Coding Auditor, within the Department of Coding/HIM at Tenet Health, plays a crucial role in ensuring compliance with coding guidelines, regulations, and internal policies. In this role, you will conduct audits of medical coding and documentation to verify accuracy and identify any coding errors, discrepancies, or potential compliance issues. Working closely with the coding team, you will collaborate to rectify any identified issues and recommend education and training on coding guidelines, documentation requirements, and compliance regulations. Maintaining meticulous audit records and generating reports for management, you will contribute to monitoring coding accuracy and compliance within the organization. Staying up-to-date on coding and documentation guidelines, regulations, and industry best practices is vital in this position to ensure adherence to the latest standards and promote continuous improvement in coding accuracy and compliance.

Responsibilities:

• Perform regular audits of medical records, coding, and documentation to ensure accuracy and compliance with coding guidelines and regulations.
• Ability to provide guidance for complex diagnosis, procedure, and/or query questions submitted by the coding team. This includes providing references and accurate information that is compliant with coding and reporting practices.
• Identify and investigate coding errors, inconsistencies, and potential compliance issues, and communicate findings to coding team members and healthcare providers.
• Collaborate with coding team members to provide education and training on coding guidelines, documentation requirements, and compliance regulations.
• Develop and implement corrective action plans to address identified coding errors, discrepancies, and compliance issues.
• Maintain comprehensive and accurate audit records, including documentation of audit findings, actions taken, and outcomes.
• Generate reports and metrics on coding accuracy, compliance rates, and audit results for management review.
• Stay updated on changes in coding guidelines, regulations, and industry trends through continuous education and participation in professional development activities.
• Provide support and guidance to coding team members in resolving complex coding scenarios and documentation queries.

Requirements

• High school diploma or equivalent (Bachelor's degree preferred).
• RHIT, RHIA, and or CCS credential required
• Minimum of 5 years of coding experience in a healthcare setting.
• Strong knowledge of coding guidelines (e.g., ICD-10, PCS) and documentation requirements.
• Familiarity with regulatory requirements (e.g., HIPAA, Medicare, Medicaid) related to coding and documentation.
• Excellent attention to detail and analytical skills to identify coding errors and compliance issues.
• Strong communication and interpersonal skills to collaborate effectively with coding team members and healthcare providers.
• Proficient in using coding software, electronic health record (EHR) systems, and other relevant tools.
• Ability to adapt to changing coding guidelines, regulations, and organizational policies.
• Strong organizational and time management skills to prioritize and manage multiple audits and projects concurrently.

Compensation

• Pay: $30.60 to $48.80 hourly. Compensation depends on location, qualifications, and experience.
• Position may be eligible for a signing bonus for qualified new hires, subject to employment status.

Benefits

The following benefits are available, subject to employment status:

• Medical, dental, vision, disability, life, AD&D and business travel insurance
• Paid time off (vacation & sick leave)
• Discretionary 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
• For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act is available.

Tenet Healthcare complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce.If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

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