Coding Quality Assurance Auditor

Why This Role Matters The Coding Quality Assurance Auditor is part of Novant's RCS Coding team supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations, to deliver the most remarkable patient experience, in every dimension, every time. What You Will Do Perform coding audit activities for the NHmg RCS Coding Department. Conduct audits that include assessments of proper use of ICD-9-CM, ICD-10-CM, CPT and HCPCS codes, modifiers, NCCI usage and all other applicable coding guidelines. Support the coding department by proactively auditing the team according to the RCS audit policy, and documenting/reporting issues identified during auditing processes. Required CPC, CCS or RHIT certification. High School Diploma or GED. 5+ years of professional coding experience (in all core areas). 2+ years of auditing experience for coding compliance/accuracy. Extensive knowledge of ICD-9-CM, ICD-10-CM, CPT and HCPCS coding principles and guidelines. Extensive knowledge of reimbursement systems. Extensive knowledge of federal, state, and payer specific regulations and policies pertaining to documentation, coding, and billing. Excellent verbal and written communication skills and the ability to effectively communicate with coding team members, providing positive constructive feedback from audit results. Advance level knowledge of medical terminology. Proven analytical ability and organizational skills necessary to organize/assess quality assurance based on data analysis. Preferred CPMA certification. Strong surgical coding experience is key for this role. In depth background and knowledge of medical documentation, fraud, abuse, and penalties for documentation and coding violations based on government guidelines. Scope and statistical sampling methodologies, medical record auditing skills, and abstraction ability. Quality assurance and coding risk analysis. What’s In It For You A flexible work schedule after initial training. Comprehensive benefits include medical, dental, vision, and life insurance. Retirement fund with matching contributions. Tuition assistance for qualifying team members. Job Opening ID: 130729 #J-18808-Ljbffr Novant Health