Profee Coding Auditor
Coding Auditor Job Summary and Qualifications
The Coding Auditor is responsible for performing quality reviews and audits of the assigned staff. This includes coordination with the department managers to ensure standards are met in accordance with department and organization policy. Additionally, this team member contributes to improving the processes and infrastructure of the department.
What You Will Do in This Role
- Perform regularly-scheduled quality reviews and audits per departmental policies and procedures
- Assist team members with coding questions and provide resolution guidance
- Complete special projects as assigned by management
- Communicate appropriately with department manager
- Aid in developing team goals and action plans as it relates to quality
- Identify and communicate to management educational opportunities
- Maintain working knowledge of workflow, systems, and tools used in the department
- Assist in creation and maintenance of a positive working environment, including effective communication and setting an appropriate professional example
- Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
Qualifications You Will Need
- A high school diploma or GED
- Minimum two years coding and/or reimbursement experience required
- Relevant education may substitute experience requirement
- Knowledge of medical terminology and anatomy and physiology is preferred
- Knowledge of pathophysiology is preferred
- Audit experience preferred
- Prior experience reading and interpreting Explanation of Benefits (EOB) required
- Coding certification through AHIMA or AAPC required
- Experience may be accepted in lieu of coding certification
Benefits
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
Note
Learn More About Employee Benefits Note: Eligibility for benefits may vary by location.
About Parallon
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country.
About HCA Healthcare
Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.