United States onlyThe Coding Auditor, within the Department of Coding/HIM at Tenet Health, plays a crucial role in ensuring compliance with coding guidelines, regulations, and internal policies. In this role, you will conduct audits of medical coding and documentation to verify accuracy and identify any coding errors, discrepancies, or potential compliance issues. Working closely with the coding team, you will collaborate to rectify any identified issues and recommend education and training on coding guidelines, documentation requirements, and compliance regulations. Maintaining meticulous audit records and generating reports for management, you will contribute to monitoring coding accuracy and compliance within the organization. Staying up-to-date on coding and documentation guidelines, regulations, and industry best practices is vital in this position to ensure adherence to the latest standards and promote continuous improvement in coding accuracy and compliance.
Responsibilities:
- Perform regular audits of medical records, coding, and documentation to ensure accuracy and compliance with coding guidelines and regulations.
- Ability to provide guidance for complex diagnosis, procedure, and/or query questions submitted by the coding team. This includes providing references and accurate information that is compliant with coding and reporting practices.
- Identify and investigate coding errors, inconsistencies, and potential compliance issues, and communicate findings to coding team members and healthcare providers.
- Collaborate with coding team members to provide education and training on coding guidelines, documentation requirements, and compliance regulations.
- Develop and implement corrective action plans to address identified coding errors, discrepancies, and compliance issues.
- Maintain comprehensive and accurate audit records, including documentation of audit findings, actions taken, and outcomes.
- Generate reports and metrics on coding accuracy, compliance rates, and audit results for management review.
- Stay updated on changes in coding guidelines, regulations, and industry trends through continuous education and participation in professional development activities.
- Provide support and guidance to coding team members in resolving complex coding scenarios and documentation queries.
Requirements
- High school diploma or equivalent (Bachelor's degree preferred).
- RHIT, RHIA, and or CCS credential required
- Minimum of 5 years of coding experience in a healthcare setting.
- Strong knowledge of coding guidelines (e.g., ICD-10, PCS) and documentation requirements.
- Familiarity with regulatory requirements (e.g., HIPAA, Medicare, Medicaid) related to coding and documentation.
- Excellent attention to detail and analytical skills to identify coding errors and compliance issues.
- Strong communication and interpersonal skills to collaborate effectively with coding team members and healthcare providers.
- Proficient in using coding software, electronic health record (EHR) systems, and other relevant tools.
- Ability to adapt to changing coding guidelines, regulations, and organizational policies.
- Strong organizational and time management skills to prioritize and manage multiple audits and projects concurrently.
Compensation
- Pay: $30.60 to $48.80 hourly. Compensation depends on location, qualifications, and experience.
- Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
Benefits
The following benefits are available, subject to employment status:
- Medical, dental, vision, disability, life, AD&D and business travel insurance
- Paid time off (vacation & sick leave)
- Discretionary 401k with up to 6% employer match
- 10 paid holidays per year
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
- For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act is available.
Tenet Healthcare complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
- Perform regular audits of medical records, coding, and documentation to ensure accuracy and compliance with coding guidelines and regulations.
- Identify and investigate coding errors, inconsistencies, and potential compliance issues, and communicate findings to coding team members and healthcare providers.
- Collaborate with coding team members to provide education and training on coding guidelines, documentation requirements, and compliance regulations.
- Develop and implement corrective action plans to address identified coding errors, discrepancies, and compliance issues.
- Maintain comprehensive and accurate audit records, including documentation of audit findings, actions taken, and outcomes.
- Generate reports and metrics on coding accuracy, compliance rates, and audit results for management review.
- Stay updated on changes in coding guidelines, regulations, and industry trends through continuous education and participation in professional development activities.
- Provide support and guidance to coding team members in resolving complex coding scenarios and documentation queries.
- High school diploma or equivalent (Bachelor's degree preferred).
- Certified Professional Coder (CPC) or other coding certification required.
- Minimum of 3 years of coding experience in a healthcare setting.
- Strong knowledge of coding guidelines (e.g., ICD-10, CPT, HCPCS) and documentation requirements.
- Familiarity with regulatory requirements (e.g., HIPAA, Medicare, Medicaid) related to coding and documentation.
- Excellent attention to detail and analytical skills to identify coding errors and compliance issues.
- Strong communication and interpersonal skills to collaborate effectively with coding team members and healthcare providers.
- Proficient in using coding software, electronic health record (EHR) systems, and other relevant tools.
- Ability to adapt to changing coding guidelines, regulations, and organizational policies.
- Strong organizational and time management skills to prioritize and manage multiple audits and projects concurrently.
