Coding Compliance Auditor
Located in the heart of Anderson, South Carolina, AnMed is a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. At AnMed, our mission is simple yet powerful: To provide exceptional and compassionate care to all we serve. AnMed has been named one of the Best Employers in South Carolina by Forbes, reflecting our commitment to a supportive, inclusive, and purpose-driven workplace. Whether you're just starting your career or looking to grow in a new direction, you'll find opportunities to thrive, lead, and make a meaningful impact here.
Performs coding compliance audits of outpatient accounts according to coding rules and guidelines. Duties & Responsibilities:
- Reviews outpatient medical records and validates the appropriate ICD-10 codes and CPT codes.
- Maintains documentation of audits performed.
- Review accounts returned for medical necessity regarding diagnosis issues.
- Conducts a quarterly compliance audit of outpatient accounts.
- Performs concurrent reviews on new employees.
- Assists in reviewing RAC denials and all coding changes submitted by payers.
- Assists in reviewing Emergency Room denials for Evaluation and Management (E/M).
- Conduct education sessions as needed.
- Performs other duties as assigned.
Qualifications:
- High school diploma or GED required RHIA, RHIT and/or CCS.
- CPC with minimum of 3 years' experience.
- Strong background in anatomy, physiology and medical terminology.
- Minimum of five years of experience in outpatient coding in an acute care hospital setting.
Benefits:
- Medical insurance & wellness offerings.
- Compensation, retirement & financial planning.
- Free financial counseling.
- Work-life balance & paid time off (PTO).
- Professional development.
- For more information, please visit: anmed.org/careers/benefits Varied benefits packages are available for positions with a 0.6 FTE or higher.