[Hiring] Coding Auditor @CommonSpirit Health

Role Description

As a Coding Auditor, you will be a central figure ensuring accurate and timely reimbursement by proactively resolving medical coding claim defects before billing. You will play a vital role in optimizing our revenue cycle and maintaining financial integrity.

• Meticulously research and review coding-related claim denials.
• Provide expert guidance on corrections to prevent future issues and recover lost revenue.
• Proactively address pre-billing resolution of coding defects, safeguarding against reimbursement impacts.
• Combine a robust understanding of medical coding and reimbursement methodologies.
• Demonstrate exceptional analytical skills and meticulous attention to detail.
• Exhibit a proactive problem-solving approach, driven by a commitment to maximizing financial accuracy and efficiency.

As a remote employee, we will provide you with the equipment needed to work from home, including a laptop, docking station, dual monitors, and accessories.

Qualifications

• High school diploma or equivalent.
• Minimum of one (1) year of coding experience or two (2) years experience in any capacity in a health care environment or medical office setting.
• Requires one of the following coding certifications from either the American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA):
  • Certified Professional Coder (CPC)
  • Certified Coding Associate (CCA)
  • Certified Coding Specialist (CCS)
  • Certified Coding Specialist-Physician (CCS-P)
  • Registered Health Information Technician (RHIT)
  • Registered Health Information Administrator (RHIA)
• Working knowledge of human anatomy and physiology, disease processes, and demonstrated knowledge of medical terminology.
• Requires critical thinking and analytical skills, decisive judgment, and the ability to work with minimal supervision.
• Applicants must be able to work under pressure to meet imposed deadlines and take appropriate actions.

Requirements

• Associate degree in related field (preferred).
• Healthcare revenue cycle experience preferred.