Professional Coding Auditor

1 week ago

Silver Spring, United States Holy Cross Health Full time

**Professional Coding Auditor & Educator**
**Full-Time Days**
**Location: Silver Spring, MD**

We are seeking a skilled Professional Coding Auditor & Educator to join our team at Holy Cross Health

As a Professional Coding Auditor & Educator, you will perform medical record audits including but not limited to analysis of medical record documentation, validation of primary and secondary diagnoses and procedures and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS).

**Responsibilities**:

- Monitors accuracy of centralized coders’ charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies.
- Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
- Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner.
- Responsible for practitioner education in areas related to coding, documentation and compliance while working closely with leadership and the department to establish and modify the charge description master (CDM) methodology and pricing models to ensure accuracy and regulatory compliance.

**Qualifications**:

- High school diploma or equivalent combination of education and experience.
- Certified Professional Coder or Registered Health Information Technician required.
- Minimum of 2-5 years of professional coding experience with comprehensive knowledge of ICD-10, CPT and HCPCs modifiers.
- Knowledge of Medicare, Medicaid and other third-party billing rules and regulations.
- Preferred 3-6 years of professional coding experience; ability to code from operative reports; prior auditing experience.

**Benefits**:

- Competitive salary based on experience and qualifications.
- Comprehensive benefits package including medical, dental, and vision insurance.
- Free parking and metro access.
- Retirement plan options available.
- Paid time off, flexible work schedules.
- Career growth opportunities.

If you are a skilled **Professional Coding Auditor & Educator** looking for an exciting opportunity to contribute to the well-being of patients in a dynamic healthcare environment, we encourage you to apply.

**About us**:
Holy Cross Health is a Catholic, not-for-profit health system that serves more than 240,000 individuals each year from Maryland's two largest counties — Montgomery and Prince George's counties. Holy Cross Health earns numerous national awards, clinical designations and accreditations across a wide range of specialties for providing innovative, high-quality health care services.
- Holy Cross Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law._

**Benefits**:

- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Referral program
- Retirement plan
- Tuition reimbursement
- Vision insurance

Schedule:

- Day shift

Work setting:

- In-person

**Education**:

- High school or equivalent (required)

**Experience**:

- Professional coding: 1 year (required)
- Medical coding: 1 year (required)
- Medicare, Medicaid & Third-Party Billing: 1 year (required)

License/Certification:

- Certified Professional Coder or RHIT (required)

Ability to Commute:

- Silver Spring, MD 20910 (required)

Work Location: In person

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