Certified Coder and Auditor

Join Our Team at Avita Health System Crestline

Avita Health System is proud to serve the communities of Crawford and Richland counties through three hospitals and numerous clinic locations. Over the past few years, we've tripled in size, now employing over 2,300 team members and more than 200 physicians and advanced practitioners. Our mission is to deliver high-quality, compassionate care to the people who depend on us.

We're currently seeking a dedicated Certified Coder & Auditor to join our Patient Financial Services Department at our Crestline location.

Position Overview

Takes a guiding role in the orientation and ongoing education of professional coding team, physicians, and advanced practice providers (APPs) involved in the coding and documentation process. Ensures the accuracy of information in these processes is maintained by conducting audits and analyzing chart documentation and, if accuracy is not at the expected level, reeducates and trains providers and staff. Serves as knowledge source as it related to coding guidelines; CMS, federal, and state coding regulations; and third party reimbursement requirements.

Responsible for converting and auditing documentation of diagnosis, procedures, and utilized supplies and devices for assigned physicians and APPs using ICD-10, CPT, and HCPCS guidelines. Acts as a coding resource for assigned providers and clinic managers. Collaborates with the follow-up team to overturn denials and avoid future denials.

Qualifications

Required:

• High School graduate or equivalent.
• Professional Coding Certification (CPC, CCS-P).
• At least two (2) years of experience analyzing and providing feedback on physician documentation and performing coding audits.
• Fully knowledgeable of, and conducts all activities in accordance with regulatory compliance requirements, including but not limited to HIPPA rules and regulations, Medicare Secondary Payer Screening requirements, medical necessary screening and ABN rules, Red Flag Rules, and billing and coding compliance rules and regulations.

Preferred Qualifications:

• Certified Professional Medical Auditor (CPMA) and Certified Risk Adjustment Coder certification.
• Associate's or bachelor's degree in health administration, health information management, or related field or pursuit of an advanced degree.
• Previous coding education/training experience.
• Previous billing experience and demonstrates knowledge of third party and self-pay billing procedures and claim review and analysis.

Why Join the Avita Health System Team?

At Avita, we're committed to creating a supportive, inclusive, and empowering environment where every team member plays a vital role in delivering exceptional care to our communities. Whether you're on the front lines or behind the scenes, your work matters here.

What You Can Expect at Avita:

• A collaborative and engaged workplace culture
• Competitive wages and comprehensive benefits
• Generous paid time off (PTO) to support work-life balance
• Health, dental, and vision insurance options
• 403(b) retirement plans with up to 4% employer match
• Paid parental leave
• Pharmacy discounts for employees
• Free on-site parking
• Opportunities for professional growth and internal advancement
• Recognition programs, including the DAISY Nursing Award for excellence

Join a team that values your contributions and supports your career journey every step of the way.

Location: Avita Health System Crestline Patient Financial Services Department

Avita Health System is an Equal Opportunity Employer.

Monday - Friday 8:00a - 4:30p 80 hours per pay