Coding Auditor I

3 weeks ago

Dallas, United States Direct Jobs Full time

JOB SUMMARY The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.). ESSENTIAL FUNCTIONS OF THE ROLE Performs routine coding quality reviews on all coders including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or for internal customers of the organization. Provides feedback as appropriate depending on findings. Abstracts and validates required data elements into the coding and abstracting system. Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for accurate, complete, and compliant documentation. Completes production coding when needed and assigned by one over. KEY SUCCESS FACTORS Strong knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. Strong knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. Strong knowledge of anatomy, physiology, and medical terminology. Demonstrated competency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. Strong knowledge of ICD-10-CM/PCS coding and/or CPT procedural coding. Ability to interpret health record documentation to identify procedures and services for accurate code assignment. Strong interpersonal verbal and written communication skills. Skill in the use of computers. Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. Must possess one of the following registration or certifications and 5 years coding experience with at least 1 year of the experience should be as a coding auditor. BENEFITS Immediate eligibility for health and welfare benefits. 401(k) savings plan with dollar-for-dollar match up to 5%. Tuition Reimbursement. PTO accrual beginning Day 1. Note: Benefits may vary based upon position type and/or level. QUALIFICATIONS Education: H.S. Diploma/GED Equivalent Experience: 5 Years of Experience Certification/License/Registration: Registered Health Information Administrator (RHIA) Registered Health Information Technologist (RHIT) Certified Coding Specialist (CCS) Certified Coding Specialist Physician-based (CCS-P) Certified Professional Coder (CPC) Certified Outpatient Coder (COC) Certified Inpatient Coder (CIC) Certified Interventional Radiology Cardiovascular Coder (CIRCC) Must possess one of the following registration or certifications and 5 years coding experience with at least 1 year of the experience should be as a coding auditor. #J-18808-Ljbffr

  • Coding Auditor I

    3 days ago

    Dallas, United States Baylor Scott & White Health Full time

    JOB SUMMARY The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and...

  • Coding Auditor I

    6 days ago

    Dallas, United States Baylor Scott White Health Full time

    JOB DESCRIPTION JOB SUMMARYThe Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology...

  • Medical Coding Auditor

    1 week ago

    Dallas, Texas, United States Exceptional Healthcare Inc. Full time

    Job Summary:Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating...

  • Medical Coding Auditor

    1 week ago

    Dallas, TX, United States Exceptional Health Care Full time

    Job Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating...

  • Medical Coding Auditor

    7 days ago

    Dallas, TX, United States Exceptional Health Care Full time

    Job Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating...

  • Comptroller - Tax Auditor I - III - Dallas East

    4 weeks ago

    Dallas, United States Dallas Staffing Full time

    Tax Auditor PositionThe Audit Division employs Tax Auditors nationwide. Tax Compliance is the Audit Divisions primary focus. We strive to increase tax reporting accuracy and to promote greater voluntary compliance for the state of Texas.As a Tax Auditor for the Comptrollers office, youll join a bright, forward-thinking agency where a strong work ethic...

  • Billing Compliance Auditor

    3 weeks ago

    Dallas, United States Elara Caring Full time

    2 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare...

  • Coding Specialist I

    2 weeks ago

    Dallas, United States Parkland Health and Hospital System Full time

    Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family.  PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area.  PCHP works to fulfill of our mission by empowering members to live healthier...

  • Physician Compliance Auditor 2

    3 weeks ago

    Dallas, United States Innova Solutions Full time

    A client of Innova Solutions is immediately hiring for a Physician Compliance Auditor. Position type: Full-Time, ContractDuration: 9 MonthsLocation: Remote As a Physician Compliance Auditor, you will: Perform annual chart audits (mostly in their areas of expertise) and formulate recommendations based upon the audit findings, and communicate them to the...

  • Acute Coding Subject Matter Expert

    2 weeks ago

    Dallas, TX, United States Optum Full time

    This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Explore opportunities with Optum, in strategic partnership with ProHealth Care. ProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a...