Auditor - Coding Compliance

Complexity of Work: Requires critical thinking, decisive judgment, effective written and verbal communication skills. Demonstrates effective time management skills, professional responsibility and fosters teamwork. Able to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Ability to accurately assign and sequence ICD-10-CM/PCS and CPT codes to principal diagnosis and procedures, complications and co-morbid conditions to complex inpatient or outpatient encounters such as observation, outpatient surgery and interventional radiology. Provides guidance to other departmental staff in identifying and resolving coding issues or errors. Proficient in basic computer skills including Microsoft Office applications and utilizing a computerized encoder and electronic medical record systems. Required Work Experience: For inpatient coding auditor, three (3) years of inpatient coding experience. For outpatient coding auditor, three (3) years of outpatient coding experience. Other Information: For Hospital Coding: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS).For Physician Coding: CPC - Certified Professional Coder, HCC - Hierarchical Condition Category Coder, CRC - Certified Risk Adjustment Coder, or CPMA Certified Professional Medical Auditor.Additional Credential Info: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS). For Physician Coding: CPC Certified Professional Coder, HCC - Hierarchical Condition Category Coder, CRC Certified Risk Adjustment Coder, or CPMA Certified Professional Medical Auditor.


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