To ensure compliance with coding guidelines, the full-time California Licensed Coding Auditor will perform quality reviews and audits for hospital inpatient, outpatient, and professional fee coding while working remotely.
Key responsibilities:
Conduct regular quality reviews and audits according to departmental policies for various coding types
Prepare detailed audit reports with findings and recommendations, facilitating the coder appeal process as needed
Maintain up-to-date knowledge of coding guidelines and identify educational opportunities for team members
Required qualifications:
High School Education/GED or equivalent required; Associate's/Technical Degree preferred
Five years of acute care inpatient, outpatient coding experience, and/or professional fee coding required
Three years of coding auditing/monitoring experience preferred
Certified Coding Specialist (CCS) credential through AHIMA or AAPC required
Expert level knowledge of medical coding practices and concepts