Facility Outpatient Surgical Auditor, Claims Edit

Role Overview

• Reviewing encounters in either a prebill or retrospective workflow to validate a coding profile.
• Performing quality coding reviews or audits within established departmental productivity and accuracy standards.
• Providing written summary reports of findings.
• Coordinating and leading feedback sessions based on recommendations.
• Maintaining appropriate open communication with internal and external partners and peer departments.
• Assisting peer departments with production coding of cases.
• Helping improve data quality for reporting and research.

Requirements

• High school diploma or GED required. Degree in Health Information Management preferred.
• A minimum of 3 years of Coding Audit experience with auditing skills covering coding/billing accuracy of coding staff required.
• CCS, CPC, RHIA or RHIT required upon hire.
• Facility outpatient surgical claims experience highly preferred.

Benefits

• health and dental insurance
• paid vacation
• 403(b) retirement plan