Senior Coding Auditor: Hospital Compliance & CDI Lead

McLaren Health Care; Grand Blanc (MI); On-site; USD 85,000 - 115,000; Full time

Job summary

McLaren Health Care is seeking a Senior Coding Auditor to provide ongoing coding and documentation education for physicians, coders, and CDI teams to ensure accurate code assignment and appropriate charges across hospital services.

Responsibilities include conducting audits, validating POA indicators, and supporting the Clinical Validation Initiatives with transparency and collaboration across the coding and clinical teams.

Qualifications

• High School diploma required.
• 5 years of coding experience.
• Certified in AHIMA, AAPC, or AMAC.
• Experience auditing inpatient/outpatient coding and billing.

Responsibilities

• Completes quality assurance audits on inpatient and outpatient coding specialists, onboarding audits and training of newly hired coding specialists.
• Validates POA indicators according to guidelines and identifies missing or inappropriate queries to providers.
• Audits outpatient and/or inpatient facility coding and billing using MS-DRG or APC assignment and OPPS reimbursement methodology; develops guides with CDI for identified conditions.
• Serves as an advisor and support to the Auditor.
• Performs retrospective, random, and focused audits of coding cases to ensure accurate code application.
• Performs pre-bill compliance audits to ensure accurate code assignment and regulatory compliance.

Skills

5 years coding experience

Education

High School diploma

Associate degree in HIT or related healthcare field

AHIMA Certification (RHIA/RHIT/CCS)

AAPC Certification (CPC/CCC/COC/CHONC)

AMAC Certification ROCC

Job description

McLaren Health Care is seeking a Senior Coding Auditor to provide ongoing coding and documentation education for physicians, coders, and CDI teams to ensure accurate code assignment and appropriate charges across hospital services.

Responsibilities include conducting audits, validating POA indicators, and supporting the Clinical Validation Initiatives with transparency and collaboration across the coding and clinical teams.