Coding Data Quality Auditor

Coding Data Quality Auditor is responsible for performing quality inter-rater review audits of medical records coded by internal team to ensure ICD-10 codes are appropriate, accurate, and supported by clinical documentation.

Requirements

• Proven ability to support coding judgment and decisions using industry standard evidence and tools
• Ability to confidently speak to such evidence across stakeholders with varying knowledge and clinical expertise
• Acts as mentor to provide education to internal staff based on audit findings
• Effectively communicates the audit process and results to appropriate departments and management
• Identifies and recommends opportunities for process improvements
• Ability to work independently and in a cross-functional role
• Adhere to stringent timelines and meet coding accuracy and production standards
• Monitors own work to ensure quality and handles patient data with uncompromised adherence to HIPAA's Privacy and Security rules
• Expertise in assigning accurate medical codes for diagnoses as documented for physicians and other qualified healthcare providers
• Thorough knowledge of coding guidelines and regulations to meet compliance requirements
• In-depth knowledge of medical terminology and anatomy for all body systems
• Apply AHA Coding Clinic guidance to identify and resolve coding issues
• Remains current on educational training and requirements including ICD coding, CMS documentation requirements, and State and Federal regulations

Benefits

• Affordable medical plan options
• 401(k) plan with company matching
• Employee stock purchase plan
• Wellness screenings and other no-cost programs
• Benefit solutions addressing different needs and preferences
• Paid time off, flexible work schedules, family leave, and dependent care resources
• Colleague assistance programs, tuition assistance, retiree medical access, and other benefits depending on eligibility