Coding Auditor - Health infomation Management

This position is responsible for the coordination of quality audits for coding staff and/or Client

providers. In addition, this position is responsible for auditing as part of the Coding Teams and the reporting of audit results to Leadership, Compliance and other Departmental Leadership when applicable. The emphasis of this position is to coordinate all aspects of audit entities, including outside request for compliance and billing, including and not limited to RAC and/or other auditing programs requests.

This position is responsible in keeping abreast of continual changes in coding and billing guidelines and compliance related to reimbursement within federal and State regulations. This incumbent is to have expert knowledge of accurately assigning ICD-10-CM diagnostic, procedure codes and E/M levels for all aspects of facility or professional coding. This list is to include Acute Inpatient/Outpatient, Level II Trauma, Rehab Facility, Home Health, Hospice, Ambulatory and hospital-based outpatient areas. ICD-10-CM/PCS, CPT and E/M code assignments must be consistent with CMS Official Guidelines, regulatory agencies and hospital specific bylaws and guidelines.