Coding Auditor
OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Click here to learn more about benefits and the total rewards at OSF.
Expected pay for this position is $29.01 - $34.13/hour. Actual pay will be determined by experience, skills and internal equity. This is an Hourly position.
OverviewCandidates in Illinois
Full Remote Near OSF location
POSITION SUMMARY:
The Coding Auditor is responsible for performing coding and documentation reviews to ensure the quality and integrity of coding data captured for OSF services. Provides validation of accurate and compliant coding and charging to ensure adherence to established coding guidelines of ICD-10, CPT, governmental and third-party payers; ensuring coding quality standards are achieved and maintained. Responds to external coding audits and DRG billing denials, writing appeals, documenting coding rationale and defends OSF coded data based on provider documentation and coding rule and convention as appropriate. Research coding and/or billing code requirements using encoders and various professional and government publications in order to achieve compliance and optimize reimbursement. Participates in productive coding workflows in order to maintain up to date knowledge of current documentation and coding software toolset.
QualificationsREQUIRED QUALIFICATIONS:
Education: Associates degree in Health Information Management OR Bachelor’s degree in applicable health related field.
Licensure/Certifications: Must have one of the following certifications: RHIA (Registered Health Information Administrator) RHIT (Registered Health Information Technician) CCS (Certified Coding Specialist) CMA (Certified Medical Office Assistant) CPC (Certified Professional Coder) OR will obtain AHIMA- CCS certification within 12 months of hire.
Experience: 3 years of experience in hospital or professional coding.
Other skills/knowledge: Advanced knowledge of ICD10-CM/PCS and CPT/HCPCS coding guidelines Knowledge of medical terminology, anatomy/physiology, disease processes, medical records and hospital procedures.
Ability to concentrate on a task over a period of time without being distracted Basic keyboard and software application skills, including Electronic Medical Record systems. Demonstrated ability to communicate effectively via written and verbal means Demonstrated excellent professional writing skills. Analytical skills necessary in collecting, analyzing, and reporting departmental quality indicators ensuring compliance with regulatory data requirements, establishing coding area goals and assessing outside coding review activities.
PREFERRED QUALIFICATIONS:
Fluency with advanced understanding of both MS and APR DRG methodologies.
Direct experience with chart quality audits and/or denial response writing.
OSF HealthCare is an Equal Opportunity Employer.
Associate degree in health information management or applicable bachelor's degree, qualifying coding certification, and 3 years of hospital or professional coding experience; advanced coding knowledge required.
Key Responsibilities
- reviewing documentation
- auditing coding
- writing appeals
Skills & Tools
ICD-10-CM/PCS, CPT/HCPCS, Electronic Medical Record systems, MS, APR DRG
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Mid Level
- Commitment: Full Time
- Workplace: Remote — Peoria, Illinois, United States
- Salary: USD 60,340 – 70,990 / year
- Languages: English
Benefits
- 401k matching
- Generous paid time off
- Tuition reimbursement
- Retirement plan
About OSF HealthCare
A healthcare system providing medical services and healthcare support operations. — Industry: Healthcare