Healthcare Coding Auditor: Quality & Compliance Lead

Cedars-Sinai; Oregon; Hybrid; USD 80,000 - 110,000; Full time

Benefits offered by this job

Health insurance

Paid vacation

403(b)

Job summary

Cedars-Sinai is seeking a Coding Auditor to review encounters and validate coding profiles in prebill or retrospective workflows, ensuring compliance with coding guidelines. You will interact with Coding Operations, CDI, PRM and CRI, helping improve data quality and reimbursement.

The role requires several coding certifications at hire and a minimum of three years in coding audits, with the ability to lead feedback sessions and contribute to education and reporting efforts.

Qualifications

• High School Diploma or GED required; associate degree/college diploma or bachelor's in health information management preferred.
• Minimum of 3 years' Coding Audit experience with auditing skills covering coding/billing accuracy.
• Certifications: Certified Coding Spec Phys, Certified Coding Specialist, Certified Professional Coder, Registered Health Info Admin or Registered Health Info Tech required upon hire.

Responsibilities

• Perform quality coding reviews or audits within established productivity and accuracy standards.
• Assist with processing re-bills post coding audit changes and with coding corrections from billing.
• Provide written summary reports of findings and lead 1:1 or small group feedback sessions.

Skills

Coding Audit Experience

Auditing Skills

Education

High School Diploma or GED

Associate degree in Health Information Management

Bachelor's degree in Health Information Management

Job description

Cedars-Sinai is seeking a Coding Auditor to review encounters and validate coding profiles in prebill or retrospective workflows, ensuring compliance with coding guidelines. You will interact with Coding Operations, CDI, PRM and CRI, helping improve data quality and reimbursement.

The role requires several coding certifications at hire and a minimum of three years in coding audits, with the ability to lead feedback sessions and contribute to education and reporting efforts.