Senior Certified Coding Auditor and Trainer

Novant Health Urgent Cares; Columbia (SC); On-site; USD 65,000 - 110,000; Full time

Benefits offered by this job

Competitive wages

Generous PTO

403B

Flexible Spending Account

Disability (Short/Long Term)

Life Insurance

Job summary

Novant Health Urgent Care in Columbia, SC seeks a Senior Certified Coding Auditor and Trainer to lead coding audits, educate staff, and oversee external vendor performance. You will perform chart audits, benchmark practices, and drive documentation improvements across urgent care and physical therapy encounters.

The role requires CPC/CCS-P/COC/CMC/RHIA/RHIT licensure, strong coding knowledge, and experience training revenue-cycle staff.

Qualifications

• Associate's or Bachelor's in Medical Billing and Coding or related field.
• CPC/CCS-P/COC/CMC/RHIA/RHIT licensure required.
• Experience with ICD-10-CM, HCPCS, CPT-4/5 coding rules and guidelines.

Responsibilities

• Provide data and reports to management on coding and claims for Urgent Care and Physical Therapy encounters.
• Educate medical and clinic staff on medical coding and documentation requirements.
• Oversee performance of external coding vendor and participate in monthly audits and reviews.
• Perform monthly chart audits and suggest provider documentation improvements.
• Benchmark provider coding practices quarterly and educate providers or vendors as needed.

Skills

Medical coding knowledge

Training program development

Data reporting

Provider communication

Documentation guidelines

Education

Medical Billing & Coding degree

Licensure: CPC/CCS-P/COC/CMC/RHIA/RHIT

Tools

Microsoft Office

Cerner Practice Management

Job description

Position:Senior Certified Coding Auditor and Trainer

Location: Columbia Main

Columbia, SC

Job Id:8707

# of Openings:1

Title:Senior Certified Coding Auditor and Trainer

Location: Columbia, SC

Status:Full-Time

Who Are We?

Part of the Novant Health family based in North Carolina, Novant Health Urgent Care (formerly Doctors Care) provides exceptional healthcare through our network of more than 50 urgent care centers and 20 physical therapy facilities across South Carolina. Our Columbia-based headquarters delivers non-medical management and administrative services to support these locations. For decades, we have been committed to delivering exceptional, convenient, and affordable healthcare experiences to families and communities throughout the Palmetto State.

What Do We Offer?

• Competitive wages
• Generous PTO that increases with tenure
• 403B
• Flexible Spending Account
• Short term and Long term Disability
• Whole and Term Life Insurance

What Are We Looking For?

Novant Health Urgent Cares is currently seeking a Senior Certified Coding Auditor and Trainer to join our team. The Senior Certified Coding Auditor and Trainer provides data and reports to management related to coding and claims for Novant Health Urgent Care and Novant Health Physical Therapy patient encounters.The Auditor and Trainer educates medical and clinic staff on medical coding and documentation requirements. With the Senior Director of Revenue Cycle, the Auditor and Trainer oversees performance of external coding vendor ensuring accuracy of coding, vendor’s successful completion of monthly audits of the vendors own coding, and participates in scheduled review calls with external vendor and Billing department leadership. The Auditor and Trainer performs and documents monthly chart audits to ensure coding accuracy and makes recommendations to the Senior Director of Revenue Cycle, VP of Operations, and Clinical Leadership for provider documentation improvement. The Auditor and Trainer performs and documents quarterly benchmarking of provider coding practices and provides education to providers or the external coding vendor as necessary.

Do You Have What It Takes?

A good candidate will bring with them:

• Associate's degree or Bachelor's degree in Medical Billing and Coding or other applicable degree
• Licensure: CPC, CCS-P, COC, CMC, RHIA or RHIT credentials
• Knowledge of insurance filing, coding, collections and billing policies and procedures
• Knowledge of the ICD10-CM, HCPCS, and CPT-4/5 nomenclature, coding rules and guidelines
• Ability to properly sequence ICD-10-CM codes
• Advanced understanding of medical terminology and body systems/anatomy and physiology and concepts of disease
• Ability to elicit cooperation from and work in a cooperative manner with professionals and non-professional associates
• Dependable in both production and attendance
• Proficient with Microsoft suite including Word, Outlook, and Excel Experience with creating and implementing training programs for the revenue cycle
• Ability to adapt to new software programs
• Excellent organizational skills

An ideal candidate would also have:

• CEDO certification
• Five (5) or more years of medical coding experience
• Five (5) or more years of experience working directly with medical providers
• Working knowledge of Cerner Practice Management System