Quality Auditor, Coder
Employment Information
Job Description
Coder Quality Auditor at Ensemble Health Partners responsible for conducting quality assessments of coding accuracy. Provides education and guidance to coding associates ensuring compliance with standards.
Responsibilities:
- Conducts monthly and quarterly quality assessments of individual codes
- Provides guidance and education to coding associates and leaders on established coding guidelines and procedures.
- Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts.
- Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines.
- Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.
- Assesses the educational needs of coding staff based on individual coder audit results and overall trends.
- Creates presentations, develops learning material, handbook and other educational materials.
- Assists operational coding team with initial coding, edits, denials and appeals on an as needed basis.
- Assists with training new and existing staff.
Requirements:
- 5+ years of coding experience
- 3+ years of auditing experience
- Proficiency in multiple EMR’s, encoders, and the Microsoft Office suite
- Educated in HIPAA regulations; must maintain strict confidentiality of patient and client information
- Consistently achieves quality and productivity standards
- Ability to organize and complete work in a timely manner
- Ability to read, write and effectively communicate in English
- Ability to understand medical/surgical terminology
- Above average written and verbal communication skills
Benefits:
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
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