Job title: CODING AUDITOR
Company: Blount Memorial Hospital
Job description: JOB SUMMARY
Performs independent, complex and professional level audits of charging, coding, documentation and billing compliance. Such audits will include Evaluation & Management (E/M) assignment, Third Party billing/reimbursement, and documentation compliance. Maintain all organizational and professional ethical standards while mentoring new and established physicians, mid-level providers, peers, and Hospital leaders. This position will work independently under limited supervision with emphasis on initiative and independent judgment.
Education and/or experience: An associate’s degree or equivalent experience as a coder/auditor is required. A certificate in coding through the American Academy of Professional Coders (AAPC) or other equivalent program certificate is required. CPMA or equivalent is a plus. Certification as ICD-10 trainer preferred and/or experience with ICD-10.
Knowledge: A good working knowledge of healthcare practices, operations and physician coding compliance. Specifically, a good working knowledge of medical terminology, patient care services, and clinical documentation. Become and/or maintain expert knowledge of government regulatory processes/rules.
Skills: Proficient with Excel, Word, Powerpoint, and Access. Experience with Intelicode, NextGen, Greenway and Paragon is a plus. Audit skills with the ability to interpret and apply Federal and State regulations, coding and billing requirements. Provide feedback constructively and with sensitivity. Demonstrated critical thinking skills and ability to resolve complex coding issues through root cause analysis.
Abilities: Possess strong written and oral communication skills. Demonstrate interpersonal skills to interact appropriately with various levels of management, mid-level providers and physicians. Ability to self-direct and attentive to details. Proven ability to learn basic auditing skills and working knowledge of healthcare billing while identifying coding trends, risk areas and training opportunities. Must take advantage of available information technology during the audit process. Ability to work and maintain a high degree of confidentiality and integrity.
Work Type: Full Time (0.75 – 1.0)
Work Hours: 8:00am – 4:30pm
Location: Maryville, TN
Job date: Wed, 03 Mar 2021 08:59:33 GMT
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