Healthcare Coding Auditor: Impact & Compliance Expert

Wellstar Health System; Atlanta (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

Wellstar Health System is seeking a Coding Services Auditor to conduct prebill and retrospective reviews, focusing on identified opportunities, mortality, PSI, and coder-focused audits. You will validate ICD-10-CM/PCS codes and DRGs, review POA indicators, and ensure alignment with coding guidelines and regulatory standards.

The role involves data capture in auditing software, collaboration with leadership, and contributing to process improvements.

Qualifications

• Performs prebill and retrospective ICD-10-CM/PCS audits per official guidelines.
• Identifies coding opportunities and documentation improvements.
• Manages data in auditing software with high accuracy.

Responsibilities

• Validate codes and DRG assignments per guidelines and clinical documentation.
• Review mortality accounts using Vizient criteria and other sources.
• Identify query opportunities and documentation improvements.

Skills

ICD-10-CM/PCS knowledge

Auditing

Critical thinking

Documentation accuracy

Education

High School Diploma

Health Information Management AS/ASD preferred

RHIA/RHIT/CPC preferred

Tools

3M360

EPIC EMR

Auditing software

Excel

Job description

Wellstar Health System is seeking a Coding Services Auditor to conduct prebill and retrospective reviews, focusing on identified opportunities, mortality, PSI, and coder-focused audits. You will validate ICD-10-CM/PCS codes and DRGs, review POA indicators, and ensure alignment with coding guidelines and regulatory standards.

The role involves data capture in auditing software, collaboration with leadership, and contributing to process improvements.