Summary
This role will be a professional fee auditor, auditing coders that code for providers.
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.
Hospital/Professional (Outpatient Coding)
Required: AHIMA Approved Credential: RHIA, RHIT, or CCS OR AAPC Approved Credential: CPC or COC
Hospital (Inpatient Coding)
Required: AHIMA Approved Credential: RHIA, RHIT or CCS or AAPC Approved Credential: CIC
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Abstract Treatment Information Skill
CPT Coding (Current Procedural Terminology) Skill
CoxHealth, Springfield, MO
CGS Federal (Contact Government Services), Fairview, MO