Healthcare Coding Auditor & Compliance Specialist

ThedaCare; Appleton (WI); Vor Ort; USD 18.000 - 26.000; Vollzeit

Benefits dieser Stelle

Health benefits

Wellness programs

Zusammenfassung

The Coding Auditor at ThedaCare performs coding quality audits of records to ensure appropriate code assignments in accordance with CMS guidelines. Provides ongoing feedback and education to coders and providers, and supports corporate compliance efforts.

Located at ThedaCare Regional Medical Center in Appleton, this role emphasizes regulatory compliance, audit planning, and collaboration with physicians to clarify documentation for accurate coding.

Qualifikationen

• Experience in hospital coding and clinical medical audit review is required.
• Certified Coding Credential (CCS/CPC/CIC/COC) preferred.
• ACDIS CDS certification within one year of hire is expected.

Aufgaben

• Perform compliance monitoring and auditing of billing, coding, and documentation.
• Review audit reports to ensure coding accuracy standards.
• Assist in external audits and inquiries (CMS, Medicaid, RAC, HRSA, PERM).
• Maintain knowledge of regulatory changes and participate in annual audit planning.

Kenntnisse

Regulatory compliance

Auditing

Coding accuracy

Ausbildung

High School diploma or GED

AHIMA/CPC/CCS or RHIT/RHIA certification

ACDIS CDS certification (within 1 year)

Tools

CMS guidelines

Jobbeschreibung

The Coding Auditor at ThedaCare performs coding quality audits of records to ensure appropriate code assignments in accordance with CMS guidelines. Provides ongoing feedback and education to coders and providers, and supports corporate compliance efforts.

Located at ThedaCare Regional Medical Center in Appleton, this role emphasizes regulatory compliance, audit planning, and collaboration with physicians to clarify documentation for accurate coding.