Internal Coding Auditor

Facility : Work From Home - OhioDepartment : Payer Enrollment AdministrationSchedule : Full timeHours : 40Job Details : The Internal Coding Auditor plays a pivotal role in ensuring the proficiency and continuous development of all staff involved in coding processes for facility and professional services. The Internal Coding Auditor regularly conducts detailed coding audits and reviews the findings to identify areas where coder accuracy falls below the established standards. This involves working with Coding leaders to advise on implementing corrective actions and providing targeted training to address any deficiencies. The role requires meticulous tracking of coding regulations at both the state and federal levels. The Internal Coding Auditor ensures that all coding practices within the organization comply with these regulations, thereby minimizing the risk of non-compliance. The Internal Coding Auditor must have a thorough understanding of third-party reimbursement guidelines. This knowledge is crucial for ensuring that the organization's coding practices align with the requirements of various insurance providers and other third-party payers.

Department Specific Job Details :

Shift

Monday-Friday

8am-4 : 30pm

Education

• High school / GED required

Experience

5+ years of coding experience required

Proficient with IDC-10-CM / PCS required

Auditor experience preferred

Professional and facility coding experience preferred

Previous training experience preferred

Certifications

CPC, COC, CIC, CRC, CCS or CCS-P, RHIA, or RHIT certification is required

CPMA certification preferred

Skills / Competencies

Comprehensive knowledge of Official coding guidelines and CPT guidelines required

Experience with EPIC electronic health record system required

Knowledge of auditing concepts preferred

Education Requirements :

High School (Required)

Certification / License Requirements :

[Cert] CCS : Certified Coding Specialist - American Health Information Management Association, [Cert] CPC : Certified Professional Coder - American Academy of Professional Coders, RHIA - Registered health Information Administrator - American Health Information Management Association, RHIT - Registered health Information Technician - American Health Information Management Association

At Dayton Children's, we believe that each moment counts with our patients, families, and with each other.

We are moving at a fast pace and are looking for the right talent for our team at Dayton Children's. We want people who embody our values and want to become a part of the Dayton Children's difference. If this is you, apply today!

Our values :

We commit to safety - We ensure every action and decision prioritizes the safety of patients, families, and employees.

We serve with compassion - We bring generosity, empathy, and kindness to all interactions.

We own every moment - We take pride in everything we do.

We’re better together - We collaborate, communicate, and support one another to deliver optimal care.

We innovate with purpose - We adapt and change to improve pediatric care, for today and tomorrow.

We value and respect each person - We create an inclusive space where everyone feels welcome and respected.

Dayton Children’s is proud to be an Equal Opportunity Employer that values diversity and will not discriminate against minorities, women, protected veterans, individuals with disabilities, or based on age, color, gender identity, national origin, race, religion, sex, sexual orientation, or transgender status.