Lead Coding Compliance Auditor & Trainer

Memorial Health System - Ohio; Reno (OH); On-site; USD 65,000 - 95,000; Full time

Job summary

Memorial Health System - Ohio in Reno, OH is seeking a Coding Auditor to review medical records for completeness, accuracy, and regulatory compliance, and to educate coding staff and providers. The role emphasizes confidentiality and adherence to privacy standards.

The incumbent will lead quality improvement audits, respond to denials and coding inquiries, and serve as an expert resource across departments while mentoring others.

Qualifications

• High School Diploma/GED required.
• Bachelor’s degree in Health Information Management or related field preferred.
• Coding certification (CCS, CPC, COC, CIC, RHIT, RHIA) with 4 years coding experience required.
• Previous supervisory or management experience preferred.

Responsibilities

• Manages quality improvement audits and training of designated coding staff and providers.
• Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and services.
• Acts as expert coding resource to coders, CDI, providers, and other departments.
• Provides technical support regarding coding compliance documentation and EMRs.
• Develops and maintains coding policies, procedures, and training materials.
• Organizes and reports on internal quality reviews.
• Ensures audit recommendations are completed; maintains confidentiality of financial records.
• Communicates with management about denial trends and coding/documentation issues.
• Keeps informed about coding issues to comply with federal regulations.

Skills

Leadership experience

Education

High School Diploma/GED

Health Information Management degree preferred

Tools

Coding certification

Job description

Memorial Health System - Ohio in Reno, OH is seeking a Coding Auditor to review medical records for completeness, accuracy, and regulatory compliance, and to educate coding staff and providers. The role emphasizes confidentiality and adherence to privacy standards.

The incumbent will lead quality improvement audits, respond to denials and coding inquiries, and serve as an expert resource across departments while mentoring others.