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Healthcare Coding Compliance Auditor
2 months ago
Full time
Shift:
Position Overview:
Role Purpose:
- Accountable for ensuring adherence to coding standards through comprehensive auditing, training, and oversight of clinic coding personnel.
- Conducts thorough evaluations of provider documentation and code assignment.
- Serves as a mentor and guide for coding personnel.
- Facilitates or provides educational opportunities.
- Participates as a member of the Clinic Support Services Leadership Team and the Compliance and Integrity Team.
- Performs quality audits and assessments of coding executed by clinic coders. Generates reports and corrective action strategies in collaboration with Coding Leads and Management. Communicates findings and improvement plans in a constructive and professional manner.
- Analyzes provider coding trends utilizing tools such as Histograms to pinpoint areas needing enhancement. Develops strategies that may involve direct collaboration with providers or on-site coders to rectify identified issues.
- Evaluates the effectiveness of educational initiatives by monitoring changes in documentation or coding practices. Engages with management and clinic leaders when obstacles arise.
- Through the auditing process, evaluates coder competencies and identifies training needs. Provides or coordinates necessary educational resources.
- Travels to various clinics to deliver training to coding staff, clinic personnel, and providers.
- Assists Coding Leads in resolving issues related to claims with coding errors and offers feedback for rectification and follow-up.
Fulltime - Monday to Friday / No Weekends / No Holidays
Minimum Qualifications:
Education:
- Completion of college coursework in coding, anatomy and physiology, and medical terminology is preferred.
- Current coding certification is required (or a commitment to obtain within two years): Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC). Other credentials may be considered.
- A minimum of three years of coding experience is required.
- Education Assistance is available.
- Comprehensive Benefit Package (Medical, Dental, Vision, and more) effective from Day 1 for positions of 16 hours per week or more.
- Competitive compensation, including additional pay for weekend and night shifts.
- Generous paid time off policy.
- Retirement Savings plan with employer matching starting on Day 1.
Trinity Health is a leading not-for-profit, Catholic healthcare system dedicated to providing high-quality care. We prioritize diversity, equity, and inclusion in all aspects of our operations. Our workforce reflects a variety of experiences, skills, and backgrounds, which enhances our ability to deliver equitable care to the communities we serve. Trinity Health is an Equal Opportunity Employer, and all qualified candidates will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by law.
