Coding Quality Auditor
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Job Description
Coding Quality Auditor at Cleveland Clinic assessing accuracy of medical records and ensuring compliance with coding standards. Providing feedback and support to improve coding practices and documentation.
Responsibilities:
- Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare.
- Assess the accuracy and completeness of inpatient and outpatient medical record documentation through coding audits.
- Document findings, prepare and present audit results, and perform investigations to provide comprehensive feedback.
- Serve as a subject matter expert in coding, offering guidance and support to ensure compliance with coding standards.
- Audit Electronic Medical Records, procedural cases, and surgical cases, including coding audits and compliance reviews.
- Provide feedback on coding guidelines, practices, and documentation techniques.
- Perform retrospective and concurrent audits to ensure coding accuracy.
- Prepare and present reports for audits directly to Providers and coding staff.
- Analyze coded data to identify areas of risk and provide recommendations for improvement.
- Interact with Providers and coding staff to resolve documentation or coding issues.
- Assist in the development of programs and procedures to improve coding accuracy rates.
Requirements:
- High School Diploma and five years of professional coding experience OR Associate’s Degree and four years of professional coding experience OR Bachelor’s Degree and three years of professional coding experience
- ONE of the following certifications is REQUIRED and must be maintained: the American Health Information Management Association (AHIMA) Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), or the American Academy of Professional Coders (AAPC) Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC)
- Proficient in Microsoft Office Applications (e.g., Word, Excel)
- In depth knowledge of ICD-10-CM/PCS coding principles, CPT coding principles, DRG assignment, APC assignment and modifier assignment
- Knowledge of human anatomy and physiological disease processes
- Knowledge of medical terminology
- Knowledge of auditing concepts and principles
- Coding assessment relevant to the work may be required
Benefits:
- Health insurance
- 401(k) matching
- Paid time off
- Flexible work arrangements
- Professional development opportunities
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