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Coding Auditor
Coding AuditorHealth Ministries Clinic • Newton, KS, US
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Coding Auditor

Coding Auditor

Health Ministries Clinic • Newton, KS, US
27 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Health Ministries Clinic (HMC) is seeking a Coding Auditor (with PCP auditing experience) as a trusted expert to join our integrated care team in Newton, Kansas. This is a full-time, on-site position offering the opportunity to support patient care in a collaborative, mission-driven environment.

At Health Ministries Clinic, we offer more than just primary care with a full spectrum of services including behavioral health, lab, diagnostic, pharmaceutical and dental. We are seeking an experienced Coding Auditor with a multi-speciality coding background.

The Coding Quality Auditor is responsible to ensure Health Ministries Clinic's compliance with national coding guidelines, FQHC coding guidelines and regulations. The Coding Auditor plays a crucial role in minimizing coding errors and preventing fraudulent activities. The Coding Auditor is responsible to ensure accurate and consistent coding which results in appropriate reimbursement and data integrity.

This role requires the ability to detect and correct discrepancies and coding errors, provide feedback and collaborate across departments to correct inaccuracies in medical documentation.

Coding Essential Functions

  • Reviews designated claims for proper coding before submission. Corrects any errors or discrepancies.
  • Assists Billing Specialists with coding-related questions during billing processes
  • Works coding-related denials
  • Works closely with providers to clarify documentation and improve coding accuracy
  • Responds promptly to manager requests to code or review coded accounts for accuracy
  • Provides assistance to the leadership team and management with coding of the accounts or answering questions related to coding and workflows.
  • Understands payor rules, medical policy guidelines and documentation requirements (commercial and government) that affect coding
  • Ensures coding compliance with AMA, CMS guidelines, and state / federal regulations
  • Meets coding productivity and quality standards

Auditing Essential Functions

  • Reviews provider medical records and audits to ensure accurate coding of diagnoses, procedures and services using ICD-10, CPT and HCPCS codes
  • Prepares detailed audit reports that highlight findings, trends and areas for improvement
  • Presents findings to management and relevant stakeholders
  • Effectively interacts and communicates findings with providers.
  • Able to communicate why a code is incorrect, what the correct code should be and why the new code is to be used
  • Able to communicate what changes in documentation habits needed to make accurate coding selection.
  • Ensure coding compliance with AMA, CMS guidelines, and state / federal regulations
  • Participates in special reviews or projects, as assigned

    • Education / Training Essential Functions

  • Provide new hire training for onboarding providers
  • Provide on-going support and education to providers
  • Provide education / training to Billing Specialists
  • Participate and provide good coding feedback during meetings, education and trainings
  • Takes initiative to assist others and share knowledge on official coding guidelines

    • Knowledge, Skills & Abilities Needed

  • Extensive knowledge of ICD-10, CPT, and HCPCS coding systems
  • Familiarity with healthcare regulations, including HIPAA, CMS guidelines, and payer-specific requirements
  • Understanding of medical terminology, anatomy, and physiology
  • Maintains up-to-date knowledge of medical coding guidelines, regulatory changes and industry best practices. Maintains active coding certification.
  • Strong analytical and problem-solving skills
  • Excellent attention to detail and accuracy, thorough
  • Effective communication and interpersonal skills, people-oriented
  • Effective time management
  • Able to follow directions and work independently
  • Proficiency with EHR systems, billing software, and Microsoft Office (Outlook, Word, Excel).

    • Requirements

  • High school diploma or equivalent GED required
  • Active certification is required in one or more of the following, preferred : Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Auditing Outpatient Coding (OAC)
  • Minimum of three (3) years of direct experience in coding / auditing applicable services, and medical chart review for all provider / claim types.

    • Why Work at HMC?

  • Make a Real Impact : At HMC, your work truly matters. We serve an inclusive community where every role contributes to improved health outcomes.
  • Supportive Work Culture : We value collaboration, open communication, and a positive environment where everyone's input counts.
  • Work-Life Balance : Enjoy a set weekday schedule in a stable, mission-driven organization.

    • What We Offer

  • Set schedule
  • Medical, dental, and vision insurance
  • Retirement plan with employer contributions
  • Paid time off and holidays
  • Competitive salary
  • Supportive team environment with dedicated administrative and clinical staff

    • About Health Ministries Clinic

    HMC is a mission-focused Community Health Center committed to serving all patients-regardless of ability to pay. Our three main service lines include Medical, Behavioral Health, and Dental, with extensive ancillary and assistive services that allow our clinicians and support staff to provide comprehensive care.

    Apply Today

    Join a close-knit, compassionate team delivering high-quality care in a supportive environment. Apply now and help shape a healthier future for our community.

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    Coding Auditor • Newton, KS, US