coding auditor - Reno, United States - Next GenHealth Staffing

Next GenHealth Staffing Reno, United States

1 week ago

Description

Coding Auditor - Health Information Management

JOB RESPONSIBILITIES

Coordinate the coding staff auditing schedules to ensure compliance, quality, and accurate reimbursement.
Document all audit findings and report to Coding Leadership.
Maintain high standards of professionalism, communication, and respect for confidentiality.
Identify and resolve problems, set goals, and represent the department professionally.
Adhere to Federal and State regulations changes.

Specific Job Responsibilities:

Coding Auditor (Facility): auditing, educating, and correcting ICD-10-CM/PCS, CPT codes, and DRG assignments.
Coding Auditor (Professional Services): auditing and educating on ICD-10-CM, CPT, HCPCS, E/M code assignments.

Other Responsibilities:

Address appeals and review information for insurance denials.
Participate in mandated Medical Record Review processes.
Apply American Hospital Association (AHA) Official Coding Guidelines.
Adhere to HIM Coding policies and TJC guidelines.
Maintain coding certification and stay updated on ICD-10 coding guidelines.
Participate in performance improvement initiatives.

KNOWLEDGE, SKILLS & ABILITIES

Expert knowledge of coding conventions, Anatomy and Physiology, Disease Pathology, and Medical Terminology.
Accurate translation of diagnostic descriptions and assignment of ICD-10-CM codes.
Knowledge of clinical content standards and appeal process.

Job Qualifications

Coding Auditor candidates for the Health Information Management Department must meet the following minimum qualifications:

Education: Bachelor's Degree in Health Information Management preferred.

Experience: 10+ years in healthcare coding with 2+ years of auditing experience.

License: None

Certification: AAPC, AHIMA or Certified Coding credential.

Computer / Typing: Proficient in computer skills within 90 days.

Salary Range: $31.19-$43.68 per hour.

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