Health Ministries Clinic (HMC) is seeking a Coding Auditor (with PCP auditing experience) as a trusted expert to join our integrated care team in Newton, Kansas. This is a full-time, on-site position offering the opportunity to support patient care in a collaborative, mission-driven environment.
At Health Ministries Clinic, we offer more than just primary care with a full spectrum of services including behavioral health, lab, diagnostic, pharmaceutical and dental . We are seeking an experienced Coding Auditor with a multi- speciality coding background .
The Coding Quality Auditor is responsible to ensure Health Ministries Clinic's compliance with national coding guidelines, FQHC coding guidelines and regulations . The Coding Auditor plays a crucial role in minimizing coding errors and preventing fraudulent activities . The Coding Auditor is responsible to ensure accurate and consistent coding which results in appropriate reimbursement and data integrity .
This role requires the ability to detect and correct discrepancies and coding errors, provide feedback and collaborate across departments to correct inaccuracies in medical documentation .
Coding Essential Functions
- Reviews designated claims for proper coding before submission . Corrects any errors or discrepancies .
- Assist s Billing Specialists with coding-related questions during billing processes
- Work s coding-related denials
- Work s closely with providers to clarify documentation and improve coding accuracy
- Responds promptly to manager requests to code or review coded accounts for accuracy
- Provides assistance to the leadership team and management with coding of the accounts or answering questions related to coding and workflows .
- Understand s payor rules , medical policy guidelines and documentation requirements (commercial and government) that affect coding
- Ensure s coding compliance with AMA, CMS guidelines, and state / federal regulations
- Meet s coding productivity and quality standards
Auditing Essential Functions
Reviews provider medical records and audits to ensure accurate coding of diagnoses, procedures and services using ICD-10, CPT and HCPCS codesPrepare s detailed audit reports that highlight findings, trends and areas for improvementPresent s findings to management and relevant stakeholdersEffectively interacts and communicates findings with providers.Able to communicate why a code is incorrect, what the correct code should be and why the new code is to be usedAble to communicate what changes in documentation habits needed to make accurate coding selection .Ensure coding compliance with AMA, CMS guidelines, and state / federal regulationsParticipates in special reviews or projects, as assignedEducation / Training Essential Functions
Provide new hire training for onboarding providersProvide on-going support and education to providersProvide education / training to Billing SpecialistsParticipate and provide good coding feedback during meetings, education and trainingsTakes initiative to assist others and share knowledge on official coding guidelinesKnowledge, Skills & Abilities Needed
Extensive knowledge of ICD-10, CPT, and HCPCS coding systemsFamiliarity with healthcare regulations, including HIPAA, CMS guidelines, and payer-specific requirementsUnderstanding of medical terminology, anatomy, and physiologyMaintains up-to-date knowledge of medical coding guidelines, regulatory changes and industry best practices . Maintains active coding certification .Strong analytical and problem-solving skillsExcellent attention to detail and accuracy , thoroughEffective communication and interpersonal skills , people-orientedEffective time managementAble to follow directions and work independentlyProficiency with EHR systems, billing software, and Microsoft Office (Outlook, Word, Excel).Requirements
High school diploma or equivalent GED requiredActive certification is required in one or more of the following, preferred : Certified Professional Coder (CPC) , Certified Coding Specialist (CCS) , Certified Professional Medical Auditor ( CPMA ), Auditing Outpatient Coding (OAC)Minimum of three (3) years of direct experience in coding / auditing applicable services, and medical chart review for all provider / claim types.Why Work at HMC?
Make a Real Impact : At HMC, your work truly matters. We serve an inclusive community where every role contributes to improved health outcomes.Supportive Work Culture : We value collaboration, open communication, and a positive environment where everyone's input counts.Work-Life Balance : Enjoy a set weekday schedule in a stable, mission-driven organization.What We Offer
Set scheduleMedical, dental, and vision insuranceRetirement plan with employer contributionsPaid time off and holidaysCompetitive salarySupportive team environment with dedicated administrative and clinical staffAbout Health Ministries Clinic
HMC is a mission-focused Community Health Center committed to serving all patients-regardless of ability to pay. Our three main service lines include Medical, Behavioral Health, and Dental, with extensive ancillary and assistive services that allow our clinicians and support staff to provide comprehensive care.
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Join a close-knit, compassionate team delivering high-quality care in a supportive environment. Apply now and help shape a healthier future for our community.