Coding Auditor
Kalamazoo-MI-49001-United States
Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation.
- Audit specified number of records per coder as defined in the system coding audit plan.
- Prepare audit reports that are issued to key stakeholders, as appropriate.
- Develop corrective action plans to address opportunities for coding, billing and documentation improvement.
- Identify trends and educational opportunities. Prepare and present educational programs related to coding.
- Assist in the management of the coding and billing auditing and monitoring program to address high risk compliance areas.
Licensure / Certification / Registration:
- Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) preferred.
- Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) preferred.
- Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) preferred.
- Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) preferred.
Education:
- High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
- Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
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