Coding Compliance Specialist

4 weeks ago


Silver Spring, Maryland, United States Children's National Hospital Full time
Coding Auditor Job Description

We are seeking a skilled Coding Auditor to join our team at Children's National Hospital. As a Coding Auditor, you will play a critical role in ensuring the accuracy and integrity of our professional and facility/technical fee billing.

Key Responsibilities:
  • Evaluate the appropriateness and medical necessity of services and procedures billed based on supporting documentation.
  • Conduct audits to determine billing integrity and detect errors in documentation, coding, and billing.
  • Apply standardized audit scoring methodology to consistently evaluate documentation and coding.
  • Report audit findings in a standardized format and make recommendations for improvement.
  • Stay up-to-date with current Medicare, Medicaid, and other third-party payor billing and documentation requirements.
Requirements:
  • Associate's degree or equivalent experience in coding.
  • 2 years of experience as a Certified Coder, preferably with experience in pediatric coding and/or coding audits.
  • CCS, CIC, CPC, CPC-H, or COC certification.
  • Ability to acquire CPMA and/or CEMA/C certification within 6 months.
What We Offer:
  • A dynamic and collaborative work environment.
  • Opportunities for professional growth and development.
  • A competitive salary and benefits package.


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