Senior Medical Coding Auditor & Education Leader

Allegheny Health Network; United States; On-site; USD 47,000 - 75,000; Full time

Job summary

Allegheny Health Network is seeking a senior coding auditor to evaluate medical records for DRG, OPPS and outpatient claims accuracy. You will report findings verbally and in writing and generate topics for education and risk reduction across System entities.

You will mentor staff, stay current on CMS requirements, and provide guidance in response to external coding audits while collaborating with management and external consultants.

Qualifications

• Bachelor’s degree and RHIA certification or 10+ years in medical records with applicable credentials.
• AHIMA/AAPC credentials listed in job description.

Responsibilities

• Audits and reports on documentation, coding and billing at system entities (25%).
• Develops and delivers training programs and educational materials addressing audit deficiencies (25%).
• Consults with management; provides written guidance and participates in external audit response (20%).
• Maintains coding knowledge and CMS regulations; stays current with DRGs, CPT, ICD guidelines (20%).
• Acts as mentor and SME for staff (5%).
• Performs other duties as assigned (5%).

Skills

Analytical skills

Communication skills

Mentoring

Education

Bachelor’s Degree

RHIA Certification

RHIT Certification

CCS Certification

CPC-H Certification

CPC Certification

COC Certification

CPMA Certification

Tools

Microsoft Word

Excel

PowerPoint

Job description

Allegheny Health Network is seeking a senior coding auditor to evaluate medical records for DRG, OPPS and outpatient claims accuracy. You will report findings verbally and in writing and generate topics for education and risk reduction across System entities.

You will mentor staff, stay current on CMS requirements, and provide guidance in response to external coding audits while collaborating with management and external consultants.