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Coding Auditor

Company: United Health Services
Location: Binghamton
Posted on: March 15, 2020

Job Description:

  • Position Overview
  • Perform internal outpatient and CDI coding and documentation audits. Research, analyze, and respond to inquiries regarding coding and documentation compliance in accordance with all coding guidelines and Medicare/Medicaid regulations. Assist with coding, documentation, and billing questions to ensure compliant coding and billing. Develop final audit reports based on findings/observations during the audit process to present to providers or other appropriate staff members. Review all Cobius denials, write appeal letters, when appropriate, within designated time-line requirements. Schedule education sessions for Emergency Room coders and CDI staff, keeping them educated with all ICD-10 updates, and reviewing opportunities for avoiding denials. Training of new staff and continuing education for current staff. Aid in cross-training plan. Ensure audits are completed within a timely manner, requirements set by supervisor, develop a plan for completion and deadlines.
  • Position Requirements
  • Education/Experience
  • Minimum Required:
  • RHIT certification with an Associates Degree in HIT; OR CPC, CCS-P, CCS, or CCA certification with an Associates Degree or High School Diploma.
  • Five (5) years of Outpatient coding experience.
  • Preferred:
  • RHIA certification with a Bachelors Degree in HIT
  • Auditing experience in the health care field
  • Experience: 3M 360, McKesson One-Content, Soarian and EPIC
  • License/Certification
  • Minimum Required:
  • See information above; level of education/experience is tied to certification.
  • Preferred:
  • See information above; level of education/experience is tied to certification.

Keywords: United Health Services, Binghamton , Coding Auditor, Accounting, Auditing , Binghamton, New York

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