Coding Auditor

4 days ago


Wilmington, Delaware, United States ChristianaCare Full time
Job Summary

We are seeking a skilled Coding Auditor to join our team at ChristianaCare. As a Coding Auditor, you will be responsible for monitoring compliance with clinical documentation to support coding and billing regulations. This role requires a strong understanding of ICD-10 CM/PCS, HCPCS/CPT codes, and Medicare and Medicaid billing practices.

Key Responsibilities
  • Perform coding quality audits of all records to ensure appropriateness and accurate code assignments.
  • Review and assess supporting documentation in patient medical records for appropriate coding.
  • Identify coding and documentation error trends and provide targeted education to providers and staff.
  • Assist with annual review of CPT/ICD-10 updates and implementation of identified changes.
Requirements
  • High School diploma or equivalent and/or Associate's degree.
  • A minimum of 4 years of coding experience.
  • At least 2 years of physician auditing experience.
Preferred Qualifications
  • Certified Professional Coder (CPC) completed through American Academy of Professional Coders.
  • Certified Professional Medical Auditor (CPMA) completed through American Academy of Professional Coders.

ChristianaCare is a leading healthcare system in Delaware, committed to delivering health, not just healthcare. We offer a range of benefits, including full medical, dental, and vision insurance, as well as opportunities for work-life balance and professional growth.


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