Coding Auditor

Facility: CoxHealth South, 3801 S National Ave, Springfield, Missouri, 65807

Department: Audit and Compliance • Scheduled Weekly Hours: 40 • Work Shift: Day Shift (8:00 AM – 4:30 PM)

About the role

The Coding Auditor works with hospital (inpatient and outpatient) and professional coders to ensure coding adheres to quality accuracy based on coding guidelines and other rules governing coding practices, including the Official Coding Guidelines and AHA Coding Clinic for ICD-10-CM coding and CPT-4 guidelines. The auditor participates in developing and maintaining CoxHealth Coding Guidelines and collaborates with Coding Leadership to keep them updated. Monthly audits of coders are performed and results are entered into the 3M Audit Expert Compliance software. The auditor serves as the coding expert for hospital and professional coding, participates in Coding Leadership meetings, and applies expertise to assess new products, education changes, and cross-departmental issue resolution. The role adheres to the Standards of Ethical Coding as set forth by the American Health Information Management Association and the American Academy of Professional Coders.

Responsibilities

• Audit coders monthly and record results in 3M Audit Expert Compliance software.
• Develop and maintain CoxHealth Coding Guidelines in collaboration with Coding Leadership.
• Serve as coding expert for hospital (inpatient/outpatient) and professional coding teams.
• Participate in Coding Leadership meetings and provide expertise on new products, education changes, and issue resolution.
• Apply detailed knowledge of coding guidelines, ICD-10-CM, ICD-10-PCS, MS-DRGs, and CPT-4 classification systems to review medical record documentation.

Requirements

• High school diploma or equivalent (required).
• 1 year of experience in hospital or professional coding (preferred).
• Expert knowledge of ICD-10-CM, ICD-10-PCS, MS-DRGs, and CPT-4 classification systems.
• Detailed understanding of coding guidelines and medical record format, functions, and use.
• Proficiency in computer data entry and effective communication skills.

Qualifications

• Hospital/Professional (Outpatient Coding) credential required:
• AHIMA-approved: RHIA, RHIT, or CCS
• AAPC-approved: CPC, COC, CPC-A, or CIC

Benefits

• Medical, vision, and dental coverage.
• Retirement plan with employer match (available for employees working 20+ hours/week).
• Additional benefits available; view comprehensive list here.