The Coding Auditor/Educator is fully competent to independently code the most complex inpatient and/or outpatient service types. Responsible for auditing coding accuracy and providing detailed feedback. Responsible for training new and existing employees. Provides educational feedback to coding department, clinical staff, and other departments as needed. Investigates and responds to coding related questions and denials.
Licensure or other certifications: Certified Coding Specialist (CCS). Certified Professional Medical Auditor (CPMA), Certified Evaluation and Management Coder (CEMC) or other Nationally recognized healthcare auditing certification required at hire or required to obtain within six (6) months of hire.
Educational Requirements: Associate Degree
Minimum Experience: Minimum combined five (5) years of hospital-based coding/auditing/chart review experience to include complex CPT surgical coding and advanced ICD-10-CM and PCS coding. Knowledge of anatomy, pathophysiology, and pharmacology. Minimum one (1) year of progressive experience in auditing and educating.
Other: Associate Degree in Health Information Technology or related Healthcare field accepted
Preferred Licensure or other certifications:
Preferred Educational Requirements:
Preferred Experience: Experience in Teaching facilities and/or trauma facilities