Coding Auditor

Job Description

Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes.

Job Responsibility

• Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 
• Demonstrates effective skills in validation; provides ad-hoc education to the coding staff.
• Able to communicate effectively with coders and CDI staff. 
• Demonstrates knowledge of coding policy and procedures. 
• Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies.  
• Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. 
• Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. 
• Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff. 
• Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. 
• Work assignments are varied and require interpretation and independent decisions on course of action.
• Understands department, division, corporate strategy and operating objectives, including impacts.
• Normally receives general instructions on routine work, detailed instructions on new projects or assignments.
• Majority of contact is within own function, area, or department and may be customer service oriented.
• Performs related duties as required. 
• All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

• Bachelor's Degree required, or equivalent combination of education and related experience.
• Certified Professional Coder (CPC) OR Certified Coding Specialist (CCS) required. 
• 1-3 years of relevant experience required. 

Preferred Qualification

• Experience with edits and denials preferred
• Experience with any of the following specialties:  Neurology, Urology, ENT, Orthopedics,  Autoimmune 

*Additional Salary Detail 
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Minimum Salary/Range*: 66,300.0000

Maximum Salary/Range*: 98,500.0000