Coding Quality Assurance Auditor

Novant Health; Winston-Salem (NC); Remote; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking a dedicated coding auditor to join their team. This role is crucial in ensuring compliance with coding standards and guidelines, conducting audits, and supporting the coding department. The position emphasizes teamwork, diversity, and delivering exceptional patient care. Candidates will enjoy the flexibility of remote work while contributing to a culture of inclusion and quality healthcare. If you possess extensive coding knowledge and a passion for improving healthcare outcomes, this opportunity is perfect for you.

Qualifications

• Five years of professional coding experience required.
• Minimum of two years auditing experience for coding compliance/accuracy.

Responsibilities

• Deliver the most remarkable patient experience in every dimension.
• Foster an environment that encourages teamwork and engagement.

Skills

ICD-9-CM

ICD-10-CM

CPT

HCPCS

Auditing

Communication Skills

Analytical Skills

Organizational Skills

Education

High School Diploma or GED

Job description

Job Summary

Performs coding audit activities for the NHmg RCS Coding Department. Responsible for conducting audits assessing proper use of ICD-9-CM, ICD-10-CM, CPT, HCPCS codes, modifiers, NCCI usage, and all other applicable coding guidelines. Supports the coding department by proactively auditing the team according to RCS audit policy and documenting/reporting issues identified during auditing processes.

This position offers remote work for candidates residing in FL, GA, IN, LA, MS, NV, NC, OK, SC, VA, WY.

At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families, and communities. We invite applicants from all backgrounds to apply to our exciting career opportunities.

Responsibilities

• Deliver the most remarkable patient experience in every dimension, every time.
• Foster an environment that encourages teamwork, team member engagement, and community involvement.
• Leverage diversity and inclusion to support quality care.
• Foster a safe patient environment driven by the principles of "First Do No Harm".

Qualifications

• Education: High School Diploma or GED, required.
• Experience: Five years of professional coding experience in all core areas, required. Minimum of two years auditing experience for coding compliance/accuracy, required.
• Licensure/certification: CPC, CCS, or RHIT; required. CPMA preferred.
• Additional skills: Extensive knowledge of ICD-9-CM, ICD-10-CM, CPT, and HCPCS coding principles and guidelines. Knowledge of reimbursement systems. Audit experience preferred. Knowledge of federal, state, and payer-specific regulations related to documentation, coding, and billing. Excellent communication skills. Ability to provide constructive feedback. Medical terminology, anatomy & physiology, and laboratory experience preferred. Analytical and organizational skills for quality assurance based on data analysis.
• Additional skills preferred: Knowledge of medical documentation, fraud, abuse, penalties for violations, sampling methodologies, record auditing, and risk analysis.

It is the responsibility of every Novant Health team member to deliver a remarkable patient experience and foster a safe environment, emphasizing teamwork, diversity, and quality care.