Coding Auditor (Surgical Coding experience required)

About the role

Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes.

Responsibilities

• Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.
• Demonstrates effective skills in validation; provides ad-hoc education to the coding staff.
• Demonstrates knowledge of coding policy and procedures.
• Maintains knowledge of all current Federal and State coding guidelines; remains up to date on system literature from all agencies.
• Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
• Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff.
• Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
• Understands department, division, corporate strategy and operating objectives, including impacts.
• Normally receives general instructions on routine work, detailed instructions on new projects or assignments.
• Majority of contact is within own function, area, or department and may be customer service oriented.
• Performs related duties as required.
• Demonstrates ability to communicate professionally and effectively with physicians and other healthcare providers via calls and email.

Requirements

• Bachelor's Degree required, or equivalent combination of education and related experience.
• Current Coding credential: CER - Cert Professional Coder. (CPC) OR CER - Certified Professional Coder (CCP), required.
• 1-3 years of relevant experience required.

Qualifications

• Experience in surgical coding with an emphasis on the following specialties: ENT, Neurosurgery, Orthopedics, Transplant, Plastic/Reconstructive Surgery.
• Coding experience should include all of the following: CPT, ICD-10-CM, HCPCS.