Careers

Coding Compliance Auditor

Job Description:
Conducts audits of medical record coding to ensure compliance with established guidelines, provides results of audits, and assists with educational activities related to findings to promote adherence to state/federal laws and regulatory requirements.


MINIMUM SPECIFICATIONS
Education:
-Must be a graduate of a Health Information Management program and successfully completed an approved Coding educational program.

Experience:
-Must be a Registered Health Information Administrator (RHIA) plus six years of review/coding experience;
-OR, must be a Registered Health Information Technician (RHIT) plus six years of review/coding experience;
-OR, must be a Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC),or Certified Professional Coder-Hospital (CPC-H) with eight years of review coding experience.


Certification/Registration/Licensure:
-Must be a Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician (CCS-P), or Certified Professional Coder (CPC),or Certified Professional Coder-Hospital (CPC-H).


Skills or Special Abilities:
-Must be able to demonstrate time management, organizational, oral and written communication skills.
-Must be proficient and demonstrate and advanced knowledge in ICD-10-CM and CPT/HCPCS coding and abstracting and have an advanced clinical knowledge of medical terminology, disease process and pharmacology.
-Must score a minimum of 90% on a pre-employment coding test.
-Must be able to demonstrate knowledge of reimbursement (Medicare and Medicaid) principles and methodologies (MS-DRG and APC). -Must have a working knowledge of the compliance guidelines related to coding and billing.
-Must have strong skills in diplomacy, professionalism and trustworthiness.
-Must be able to demonstrate excellent computer skills, including word processing, spreadsheet and database management software proficiency.
-Must be able to pass a nationwide criminal background check.
-Must be able to pass preliminary drug test and comply with random drug test conducted twice a year.


Interested candidates should submit resumes to lofford@offordbusinessgroup.com and enter the job description in the subject line.