Coder Auditor-Professional

<p style="text-align:left"><b><span class="emphasis">Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.</span></b></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p>Coder Auditor-Professional<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><u><b>Job Description</b></u></p><p>Coder <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">Auditor-Professionals</span> are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&amp;M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.</p><p></p><p>Department: Physician Coding</p><p>Hours: Full-time, 40 hours/week</p><p>Required: High School Diploma, CPC, Certified Professional Medical Auditor</p><p>Pay: Based on experience, starting at $23.87</p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><u><b>Responsibilities</b></u></p>Assists coders with coding questions., Conducts the collection and<br>reporting of provider and<br>coder audit results and<br>education. Works with coders<br>and providers to ensure<br>appropriate documentation for<br>clinic services. Reports results<br>to Coding Supervisor - Professional., Demonstrates ability to code all types of encounters., Meets quality standards of<br>having 95% of diagnoses and<br>procedures appropriately<br>and/or correctly coded.<br>Ensures data quality and<br>optimum reimbursement<br>allowable under the federal<br>and state payment systems., Refers trend patterns of<br>coding and documentation to<br>Coding Supervisor –<br>Professional., Responsible for coding quality<br>audits for E/M Audit Program.<br>Analyze and confirm assigned<br>encounters for provider’s<br>selection of EM code level<br>utilizing EM code level<br>selection auditing tool are<br>accurate. Analyze and<br>confirm assigned encounters<br>for coder’s selection of<br>diagnoses and procedures<br>codes are accurate., Reviews record thoroughly to<br>ascertain all<br><span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">diagnoses/procedures.</span> Codes<br>all diagnoses/procedures in<br>accordance to ICD-CM and CPT<br>coding principles, official<br>guidelines and regulations., Trains new coding staff on<br>coding systems and processes.<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><u><b>Requirements</b></u></p>High School (Required)Certified Evaluation &amp; Management Auditor - Sarah Bush Lincoln, Certified Professional Coder - Sarah Bush Lincoln, CPMA-Certified Professional Medical Auditor - Sarah Bush Lincoln<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><u><b>Compensation</b></u></p><p style="text-align:left">Estimated Compensation Range</p>$23.87 - $37.00<p>Pay based on experience</p>