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Coding Auditor - Professional
Coder Auditor-Professionals 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&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.
Department: Physician coding
Hours: Full-Time, 40 hours a week required
Required: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hire
Pay: Based one experience, starting at $23.87/hour
Location: Remote or onsite: At this time, you must reside in one of the following locations:
Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas
Responsibilities
Assists coders with coding questions., Conducts the collection and
reporting of provider and
coder audit results and
education. Works with coders
and providers to ensure
appropriate documentation for
clinic services. Reports results
to Coding Supervisor - Professional., Demonstrates ability to code all types of encounters., Meets quality standards of
having 95% of diagnoses and
procedures appropriately
and/or correctly coded.
Ensures data quality and
optimum reimbursement
allowable under the federal
and state payment systems., Refers trend patterns of
coding and documentation to
Coding Supervisor –
Professional., Responsible for coding quality
audits for E/M Audit Program.
Analyze and confirm assigned
encounters for provider’s
selection of EM code level
utilizing EM code level
selection auditing tool are
accurate. Analyze and
confirm assigned encounters
for coder’s selection of
diagnoses and procedures
codes are accurate., Reviews record thoroughly to
ascertain all
diagnoses/procedures. Codes
all diagnoses/procedures in
accordance to ICD-CM and CPT
coding principles, official
guidelines and regulations., Trains new coding staff on
coding systems and processes.
Requirements
High School (Required)CEMA - Certified Evaluation & Management Auditor (within 6 months) - Sarah Bush Lincoln, Certified Professional Coder - Sarah Bush Lincoln, CPMA - Certified Professional Medical Auditor (within 1 year) - Sarah Bush Lincoln, Registered Health Information Technician (RHIT) - American Health Information Management Association or Registered Health Info Administrator (RHIA) - American Health Information Management Association - American Health Information Management Association
Compensation
Estimated Compensation Range
$23.87 - $37.00
Pay based on experience
Sarah Bush Lincoln is a prominent non-profit healthcare organization located in downstate Illinois. It operates a two-hospital system, consisting of Sarah Bush Lincoln based in Mattoon, IL which has 150 beds, and SBL Fayette County Hospital based in Vandalia, IL, with 25 beds. The healthcare system also operates more than 57 clinics spread across a 10-county area and stand-alone surgery centers in Mattoon and Effingham, regional cancer center and hospice house. Decisions are made locally which gives the Health System the agility to respond quickly to changing markets.
The organization employs nearly 3,500 people, including a medical staff of approximately 250 members. SBL is known for its contemporary facilities and commitment to providing advanced equipment and services for diagnosis and treatment. Sarah Bush Lincoln has an expanding robotics program, which showcases its dedication to adopting innovative technologies.
The staff at Sarah Bush Lincoln is highly engaged as reflected in the most recent Press Ganey Employee Engagement and Safety Survey. The organization is Magnet designated, which recognizes excellence in nursing. SBL supports career growth, which provides employees with various education funding opportunities.
Beyond its medical facilities, Sarah Bush Lincoln plays an integral role in the community. It actively participates in various activities that promote health, wellness, education, economic development, and housing. The involvement demonstrates the organization’s commitment to the overall well-being and development of the communities it serves.
