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Coding and Audit Coordinator
3 months ago
This Coding Audit Coordinator is responsible for analyzing and reporting trends for improvement opportunities in coding and documentation. Verify coding and abstracting accuracy by performing quantities and qualitative reviews of ICD-10 CM/PCS, HCPCS/CPT codes. This role may provide 1:1 training and education to our physicians and mid-level providers of the Christiana Care Medical Group.
Delivering health, not just health care is our promise to our community. Be a part of an organization that makes a difference and impacts the lives of each other and the communities we serve through our commitment of being excellent today and even better tomorrow.
Work Schedule:
- Monday - Friday: Day Shift
- This is a hybrid role with flexible remote options available.
- No weekends/holidays
- Opportunities for work-life balance
- Full Medical, Dental, Vision, Life Insurance, etc.
- Two retirement planning offerings, including 403(b) with company contributions.
- Opportunity for great work-life balance.
- Generous paid time off with annual roll-over and opportunities to cash out.
- 12 week paid parental leave.
- Tuition assistance
- Incredible Work/Life benefits including annual membership to , access to backup care services for dependents through , retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets, insurance and much more
Key Responsibilities:
- Performs coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid Services (CMS) guidelines and provide ongoing feedback and analysis of the education needs for the providers and staff.
- Initiate follow-up activities verifying correction of errors.
- Identify coding and documentation error trends enabling targeted provider education.
- Assist with annual review of CPT/ICD - 10 updates and implementation of identified changes.
- Lead contact for billing questions related to services within Service Line rendered within the practices/units.
- Facilitates education during time of on-boarding for all new clinicians regarding effective documentation, coding, and billing guidelines.
- Demonstrates understanding and application of CCHS Core values -- caring, excellence, leadership, pride, teamwork, integrity and standards for customer service.
- Demonstrates the ability to formulate and maintain positive working relationships with peers, managers and other members of the health care team.
- Performs assigned work safely, adhering to established departmental safety rules and practices.
- Performs related duties as required.
- High School diploma or equivalent and/or Associate's degree
- A minimum of 4 years of coding experience.
- Certified Professional Coder (CPC) completed through American Academy of Professional Coder required.
- Certified Professional Medical Auditor (CPMA) completed through American Academy of Professional Coders preferred.