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Documentation & Coding Auditor
4 months ago
Performs coding and documentation quality audits; provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities.
Major/Essential Functions
Reviews the patient record concurrently to ensure that the level of services and acuity of care are accurately reflected. Provides education on clinical documentation opportunities to support acuity, quality, and coding. Initiates and follow up on provider queries for clarification and specificity to ensure complete documentation for all relevant diagnoses, procedure, and treatments, following established query guidelines for compliance. Works collaboratively with the coding team for the proper level of documentation
Required Qualifications
High School graduate or equivalency and five (5) years of coding and reimbursement experience of which one (1) year may be as a coding auditor. Additional job-specific education may substitute for the experience. Active professional coding certification from an accredited organization, e.g., American Association of Professional Coders (AAPC), American Health Information Management Association (AHIMA). Certification to remain current during term of employment. Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature.
Preferred Qualifications
- Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (ADIP)
- Current LVN or RN
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, disability, genetic information or status as a protected veteran.
Jeanne Clery Act
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. To view this report, visit the TTUHSC Clery Act website.
