Coding Compliance Auditor(HIM Department)

CYRIS Executive Search
Columbus, OH, US
$41K-$58K a year
Full-time

TITLE : Coding Compliance Auditor LOCATION : Columbus, Ohio Now is your chance to join a top hospital where career growth and opportunity await you.

They are committed to building healthcare teams whose care exceeds the expectations of their patients and community and are looking for individuals who share the same values.

You could live or work in a small town close to Columbus, Ohio so you can be offered all the amenities of a small town and big city at the same time?

If that sounds like the change you are looking for, please read on.. What they are looking for :

  • Certified as a Registered Health Information Administrator, Registered Health Information Technician, or Certified Coding Specialist with experience in coding in an acute care facility and / or ambulatory care setting and professional fee services.
  • Associates or Bachelors degree in Health Information. Hours and compensation potential :
  • Position is full time day shift(Mon-Fri 8am-4pm)
  • Range is between $41K-$58K depending on experience and a full benefit package and a sign-on bonus($3K). What you will be doing :
  • The Coding Compliance Auditor provides a critical service to the revenue cycle management that addresses coding connections in the Patient Access, HIM coding, Charge Data Master coding, Departmental Charge capture, and Patient Financial Services processes to assure a clean and compliant claims process.
  • Provide a coding connection to the Patient Access front-line staffing that includes education regarding appropriate test order requirements and correlating source document requirements.
  • The coding compliance specialist validates Level I and Level II HCPC code assignments in the charge data master for accuracy and appropriateness.
  • Addresses, corrects and educates related hospital staff of Correct Coding Initiatives and Outpatient Coding edits to assure the hospital provides a clean and timely outpatient claim submission.
  • Facilitates the communication of CMS Program Memorandums and Transmittals to department managers as outlined in the Hospital Wide Policy and Procedure.
  • Coordinates coding changes and procedural set-up in the charge data master with the Chargemaster Coordinator to assure OCE, CCI edits and inappropriate unbundling does not occur.
  • Measures of claims errors are less than the CMS CERT (Comprehensive Error Rate Testing) program national goal of 4%.
  • Acts as a coding liaison to Patient Access staff to eliminate coding discrepancies of front-line coding for medical necessity and retrospective code assignments that result in claim denials. Additional info :
  • The position is located northeast of Columbus, OH.
  • The position reports to the Director of HIM whom is well respected.
  • New position at the facility.
  • 30+ days ago
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