Coder Auditor-Professional

Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.

Job Description

Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.

Department: Physician Coding

Hours: Full-time, 40 hours/week

Required: High School Diploma, CPC, Certified Professional Medical Auditor

Pay: Based on experience, starting at $23.87

Responsibilities

reporting of provider and

coder audit results and

education. Works with coders
and providers to ensure
appropriate documentation for
clinic services. Reports results
to Coding Supervisor - Professional., Demonstrates ability to code all types of encounters., Meets quality standards of
having 95% of diagnoses and
procedures appropriately
and/or correctly coded.
Ensures data quality and
optimum reimbursement
allowable under the federal
and state payment systems., Refers trend patterns of
coding and documentation to
Coding Supervisor –
Professional., Responsible for coding quality
audits for E/M Audit Program.
Analyze and confirm assigned
encounters for provider’s
selection of EM code level
utilizing EM code level
selection auditing tool are
accurate. Analyze and
confirm assigned encounters
for coder’s selection of
diagnoses and procedures
codes are accurate., Reviews record thoroughly to
ascertain all
diagnoses/procedures. Codes
all diagnoses/procedures in
accordance to ICD-CM and CPT
coding principles, official
guidelines and regulations., Trains new coding staff on
coding systems and processes.

Requirements

Compensation

Estimated Compensation Range

Pay based on experience