Outpatient Coding Auditor

2 weeks ago

Miami, United States JPS Health Network Full time

The Outpatient Coding Auditor monitors coding and provides quality reviews for all outpatient, day surgery and observation accounts. This position assists the Coding Manager in training and education for Coder I and Coder II.


Assists the Coding Manager in training and education of coding staff.

  1. Performs quality reviews of coders ensuring accuracy with coding guidelines and policies for complete, precise, and consistent coding.
  2. Reviews include Outpatient ICD-10, CPT, HCPCS and Modifiers.
  3. Maintains up-to-date working knowledge of coding guidelines. Acts as a resource and point person for issues and questions for coders, customers or project teams.
  4. Provides feedback to coders and providers on coding corrections, appropriately citing authoritative resources.
  5. Assists with the interpretation of codes and other information requested for accurate code assignment.
  6. Communicates with management regarding clinical, coding, and reimbursement issues as needed.
  7. Utilizes Epic, 3-M encoder, and computer-assisted coding (CAC) software as directed.


Required Qualifications:

  • Associates in health information technology or a related field of study from an accredited college or university.
  • 3 plus years of coding experience in a hospital setting.

OR

  • High school diploma, GED or equivalent.
  • 6 plus years of coding experience in a hospital setting.


AND Candidates must have and keep current at least one of the following professional certifications:


  • CPC (Certified Professional Coder)
  • CCS (Certified Coding Specialist)
  • RHIA (Registered Health Information Administrator)
  • RHIT (Registered Health Information Technician)


Preferred Qualifications:

  • American Health Information Management Association (AHIMA) granted: Registered Health Information Administrator (RHIA) or Registered Health Information Technologist (RHIT).

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