Coding Auditor

CAREER OPPORTUNITY OFFERING:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position will pay between $29.75 and $32.70/hr based on experience

Specialized Coders Wanted —$3,000 Sign‑On Bonus Awaits -- We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties.

The  Specialized Coder is a certified coder with expert knowledge in physician coding for  Cardiology,   Cardiovascular Thoracic Surgery or Vascular Surgery . This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education.

Job Responsibilities: 

• Code claims directly from the medical record/operative report according to coding guidelines.

• Accurate and timely completion of work queues as assigned.

• Track and identify trends within charge review and follow up work queues and assist leadership in the resolution of those trends and/or educational needs. Assists with research of denied claims.

• Maintains compliance with established corporate and departmental policies and procedures, quality improvement program, customer service and productivity expectations.

• Must be able to achieve individual quality and productivity performance metrics in daily duties as set by coding leadership.

• Provide and/or assist with provider education, as well as the development of educational tools. Communicates professionally with physicians, management, and peers.

• Participates in all educational activities including coding meetings/calls necessary to provide information relating to coding and compliance. Remains abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in Coding and mentors team members regarding coding guidelines and accuracy. Assists with training of other coders.

• Takes initiative for learning new skills and willingness to participate and share expertise on projects, committees and other activities as deemed appropriate. Demonstrates personal responsibility for job performance.

• Extensive knowledge/experience in physician coding with expert knowledge in a specific coding specialty and the ability to provide education/support to coding team and providers.

• Possible travel for education sessions, CME events, etc. as defined by Physician Revenue Cycle Leadership.

Required Experience:

• 3+ years of coding experience

• Extensive knowledge/experience in physician coding with expert knowledge in  Cardiology,   Cardiovascular Thoracic Surgery or Vascular Surgery  coding specialty and the ability to provide education/support to coding team and providers.

• Knowledge of Medical Terminology, ICD-10-CM, CPT, and HCPCS.

• PC and Computer application knowledge and experience. Navigational and basic functional expertise in Microsoft business software (Excel, Word, PowerPoint).

• Excellent organization skills, communication, time management, trouble shooting and problem solving.

• Ability to multi-task and prioritize needs to meet short- and long-term timelines.

• Experience with EPIC and previous use of coding software tools.

• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

• This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Minimum Education:

• High School Diploma or GED

Required Certifications:  Candidate must have and keep current at least one of the following professional certifications (CPC, preferred with the addition of CCVTC and/or CIRCC):

• CPC (Certified Professional Coder)
• CCS (Certified Coding Specialist)
• RHIA (Registered Health Information Administrator)
• RHIT (Registered Health Information Technician)

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