Documentation and Coding Auditor

3 days ago


El Paso, Texas, United States Texas Tech University Health Sciences Center El Paso Full time
Job Title: Documentation and Coding Auditor

We are seeking a highly skilled Documentation and Coding Auditor to join our team at Texas Tech University Health Sciences Center El Paso. As a key member of our team, you will be responsible for performing coding and documentation quality audits, providing feedback to coding and reimbursement specialists, and educating them on best practices.

Key Responsibilities:
  • Maintain current knowledge of billing and coding requirements, risks, and compliance requirements.
  • Regularly review JH-MAC website and Texas Medicaid policies to ensure compliance.
  • Conduct concurrent audit/review to determine possible risks and opportunities to assist in appeals.
  • Assist in the development of billing compliance standards and policies.
  • Provide and track required Billing Compliance training for staff.
  • Maintain confidentiality and handle confidential information with discretion.
  • Assist in Billing Compliance investigations and provide written reports.
  • Participate in the development of the Office of Institutional Compliance (OIC) annual risk assessment/work plan.
  • Perform other duties as assigned.
Requirements:
  • High School graduate or equivalency and five (5) years of coding and reimbursement experience.
  • Active professional coding certification from an accredited organization.
  • Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature.
  • Excellent oral and written communication skills.
  • Ability to work collaboratively with all individuals.
  • Professional bearing, sound business judgment, and persuasive skills.
  • Strong problem-solving skills, self-starter, and ability to function with little face-to-face, daily supervision.
Preferred Qualifications:
  • Managerial/supervisory and program management implementation experience.
  • Ability to initiate administrative activities as necessary.
  • Excellent time management skills and attention to detail.

We offer a competitive salary and benefits package. If you are a motivated and detail-oriented individual with a passion for coding and compliance, we encourage you to apply for this exciting opportunity.



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