[Hiring] Coding Auditor @Cedars-Sinai

Role Description

The Coding Auditor works under the general direction of the Coding Supervisor. The Coding Auditor is responsible for reviewing encounters in either a prebill or retrospective workflow to validate a coding profile. This includes:

• Applicable code sets to encounter type
• Abstracted data elements
• Missed query opportunities
• Other related encounter data collection points

Auditors evaluate compliance with all coding guidelines including but not limited to:

• Internal Coding policies/procedures/handbook
• American Hospital Association (AHA) and American Medical Association (AMA) coding references
• Local, State, and Federal Coding Guidelines

• Performs quality coding reviews or audits within established departmental productivity and accuracy standards.
• Assists with processing re-bills post coding audit changes and assists with coding corrections needed from billing department.
• Provides written summary reports of findings.
• Coordinates and leads 1:1 or small group feedback sessions based on recommendations.
• Maintains appropriate open communication with internal and external partners and peer departments such as Coding Operations, Clinical Documentation Integrity (CDI), Payor Revenue Management (PRM), and Compliance Revenue Integrity (CRI).
• Assists peer departments with production coding of cases during shortage of staff.
• Assists in improved data quality for reporting and research, accurate billing and reimbursement of services rendered which overall improves the quality of care for the patient.
• Provides 1:1 and small group education sessions, facilitates round table discussions, contributes content to the coding newsletter, and provides basic level trending or data review for opportunities.
• Evaluates codes through data reports and trended opportunities, audits to validate findings, and produces summary reports with recommendations of action plans.
• Performs additional activities (e.g. Data quality reports, etc.) as assigned by the Coding Supervisor.

Qualifications

• High School Diploma/GED required with an associate degree/college diploma or bachelor's in health information management preferred.
• A minimum of 3 years' Coding Audit experience with auditing skills covering coding/billing accuracy of coding staff required.
• Certified Coding Specialist (CCS), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Info Admin (RHIA) or Registered Health Info Tech (RHIT) required upon hire.

Benefits

• Outstanding employee benefits including health and dental insurance.
• Vacation.
• 403(b) retirement plan.

Company Description

Cedars-Sinai has a reputation for excellence, awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year!

Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals.