Columbus, IN, 47202, USA
50 days ago
Professional Billing Coding Auditor
What you need to know about this position: + Responsible for evaluating and auditing provider coding and documentation compliance to determine appropriate code assignments for diagnoses and services performed (HCPCS/CPT codes). + Develops quality audit reports that identify trends and educational opportunities. + Responsible for training and educating providers, clinical staff, and departments, one-on-one and in a group setting, on all aspects of coding and documentation utilizing both oral and written direction. + Prepares training and presentations on applicable topics. + Serves as a resource for information or clarification on accurate and ethical coding and documentation standards, guidelines, and regulatory requirements and new coding initiatives. + Proactively identifies areas of opportunity to improve coding quality based on audit feedback, coder questions, physician escalations, denial meetings, and other platforms and plans provider education accordingly. + Assists in the formulation and review of policies and guidelines affecting the coding of professional services. + Requires strong organizational skills and the ability to meet deadlines independently. + Requires the ability to professionally interact with physicians and mid-level providers with strong skill in verbal and written communications and customer relations. + Accurately applies ICD-9-CM, ICD10 CM and CPT-4 classification systems, utilizing Optum. + Assists Manager with monitoring, coordinating and responding to external audits and questions. + The hourly range for this position is between $26.65 and $40.00. Individual compensation is determined for this position through years of directly relevant experience. The hourly compensation is only a portion of the total rewards package and a comprehensive benefits program is available for qualifying positions. + In this position you will be required to work full-time, 8:00AM-5:00PM, Monday through Friday. + This position is partial remote eligible. What is required for this position: Education and/or Experience + A minimum of 5 years of coding and audit experience required. + 7 years of coding and/or audit experience with additional experience performing training and providing feedback to coding and physician audiences preferred. + Previous experience in management, quality improvement, compliance, auditing and revenue cycle related activities preferred. + Bachelor’s degree in Health Information Management or other healthcare related degree preferred. + A score of 90% or higher on the Coding Assessment Tool is required. Certifications, Licenses, Registrations + One of the following is required: + Certified Coding Specialist (CCS) + Certified Coding Specialist - Physician Based (CCS-P) + Certified Outpatient Coder (COC) + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Registered Health Information Administrator (RHIA) + Registered Health Information Technician (RHIT) + Certified Professional Medical Auditor (CPMA) or Certified Documentation Improvement Practitioner (CDIP) certification preferred.
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