CoxHealth Coding Auditor - Audit and Compliance

Summary

Best in Class Work Environment

• 5x Modern Healthcare Best Places to work
• America’s Greatest Workplaces 2023 Newsweek
• Greatest Workplace for Women 2023, 2024 Newsweek
• Greatest Workplaces for Diversity 2024 Newsweek
• Best Employers for New Grads 2023 Forbes
• Best Employers by State Missouri 2023 Forbes

Benefits

• Robust, fully customizable benefits package including Medical / Vision / Dental and more!
• No cost eCare visits
• Employer-provided mental health services for employees and eligible family members
• Retirement with employer match up to 5%
• Tuition discounts and reimbursement available for continuing your education
• CoxHealth Fitness Center and Child Care discounts
• Opportunity to earn referral bonuses per hire for certain positions

Job Summary

The Coding Auditor will work with Coders from Hospital (Inpatient and Outpatient) and Professional Coding to ensure coding adheres to Quality accuracy based on Coding guidelines and other rules set forth to govern Coding practices.

This includes the Official Coding Guidelines and AHA Coding Clinic for ICD 10 CM coding and CPT 4 guidelines. The Coding Auditor will participate in developing and maintaining the CoxHealth Coding Guidelines as well working with the Coding Leadership to keep it updated.

The Coding Auditor will audit coders on a monthly basis and enter the results in the 3M Audit Expert Compliance software.

They serve as the Coding expert in Hospital and Professional Coding and are involved in Coding Leadership meetings. Their expertise will be used to access new products, education changes and working with other departments to resolve issues.

Abides by the Standards of Ethical coding as set forth by the American Health Information Management Association and American Academy of Professional Coders.

Job Requirements

Education

Required : High school diploma or equivalent

Experience

Preferred : 1 year experience in hospital or professional coding.

Skills

Detailed knowledge of coding guidelines and the ability to apply coding guidelines when reviewing documentation in the medical record.

Must have experience with detailed knowledge of the format, functions, and use of the medical record.

Expert knowledge of ICD 10 CM and CPT-4 classification systems.

Expert knowledge of ICD 10 CM, ICD 10 PCS and MS DRG’s for inpatient coding.

Ability to perform computer data entry, ability to work with others and communicate effectively.

Licensure / Certification / Registration

Hospital / Professional (Outpatient Coding)

Required : AHIMA Approved Credential : RHIA, RHIT, or CCS OR AAPC Approved Credential : CPC or COC or CPC-A

Hospital (Inpatient Coding)

Required : AHIMA Approved Credential : RHIA, RHIT or CCS or AAPC Approved Credential : CIC