Outpatient Coding Auditor, Health Information, Management, Full Time, Day

Position Summary

The Outpatient Coding Auditor is responsible for auditing coded outpatient medical records to ensure compliance with official coding guidelines, regulatory agencies, and internal policies. This role supports coding accuracy, education, and process improvement through detailed review of encounters, identification of trends and variances, and communication with coding staff and leadership. This position also collaborates with external vendors to monitor performance and incorporate industry best practices into audit feedback and education.

About the Role

This role requires a minimum of 5 years of experience in hospital auditing or education experience in ICD-10-CM and Outpatient CPT-4, HCPCS coding experience. Knowledge of Medical Necessity APC, OCE, LCD, and NCD edits is required. 3M Encoder experience, Meditech, EPIC, or Cerner preferred. Required skills include CCS or COC, CPC, RHIT, RHIA, knowledge of ICD-10-CM, CPT-4 and HCPCS coding, Medical Terminology and Anatomy, and Physiology.

Responsibilities

• Review coded outpatient medical records for compliance with official coding guidelines, regulatory agencies, and internal policies.
• Identify trends and variances in coding and communicate findings to coding staff and leadership.
• Collaborate with external vendors to monitor performance and incorporate industry best practices into audit feedback and education.

Requirements

• High school diploma or equivalent required.
• Minimum of 5 years of experience in hospital auditing or education experience in ICD-10-CM and Outpatient CPT-4, HCPCS coding experience required.
• Knowledge of Medical Necessity APC, OCE, LCD, and NCD edits required.
• 3M Encoder experience, Meditech, EPIC, or Cerner preferred.

Qualifications

• CCS or COC, CPC, RHIT, RHIA required.
• Knowledge of ICD-10-CM, CPT-4 and HCPCS coding, Medical Terminology and Anatomy, and Physiology required.

Skills

• CCS or COC, CPC, RHIT, RHIA required.
• Knowledge of ICD-10-CM, CPT-4 and HCPCS coding, Medical Terminology and Anatomy, and Physiology required.

Benefits

Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees)

Group Term Life Insurance and AD&D (Full Time Employees)

Flexible Spending Accounts and Commuter Benefit Plans

Supplemental Voluntary Benefits (e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.)

6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness

Tuition Assistance

Employee Assistance Program (EAP)

Valley Health LifeStyles Fitness Center Membership Discount

Day Care Discounts for Various Daycare Facilities

Pay

Pay Range: $33.99 - $42.49 (per hour)

EEO Statement

Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran’s status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.