What are the responsibilities and job description for the Medical Coding Auditor position at IN Compass Health?
ABOUT OUR COMPANY:
From our beginnings in 2001, IN Compass Health was one of the first hospitalist providers in the nation. Since inception, we have recruited over 1000 providers and implemented more than 65 programs across the country, serving hundreds of patients each day.
Our founder has extensive experience in hospital-based medicine and managing physician-driven medical care in complex settings. His experience, supported with his executive leaders, offers a blending of talent few firms can match. IN Compass Health has worked for more than 20 years with hospitals, physicians, and payers to design and implement effective, on-site inpatient care teams and programs.
Built on this solid foundation, IN Compass Health works with hospitals and medical staffs to develop and manage successful hospitalist programs. Serving a national client base, the company is headquartered in metro Atlanta.
IN Compass Health is an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.”'
POSITION SUMMARY:
The Coding Auditor will be responsible for ongoing monitoring and support of provider coding, documentation and education.
ESSENTIAL DUTIES & RESPONSIBILITIES:
- Monitor and validate provider coded information for specific CPT codes billed to include levels of care;
- Provide education and/or training to In Compass Health Providers and billing staff based on denials, reviews, and findings;
- Serve in an educator capacity role for Clinical Documentation Improvement as it relates to documentation, coding, and regulatory compliance. Support Coding Quality Education (CQE);
- Data analysis of CPT code utilization by provider to identify outliers;
- Reporting of results to the Leadership of IN Compass Health;
EDUCATION, QUALIFICATIONS & EXPERIENCE:
- Five (5) years of experience in an acute care setting with auditing and/or coding management experience;
- Strong knowledge base in: completion and accurate clinical documentation in all healthcare settings; all healthcare disciplines; conventions, rules, and guidelines for multiple classifications.
- Associates Degree or higher preferred
DESIRED CERTIFICATIONS:
- RHIA, RHIT, CCS, CPC-H, CCS-P, CIRCC, CPC, and/or AHIMA approved ICD-10 trainer;
- ICD 10 approved trainer through AHIMA preferred;
- CCS-P credential in addition to one of the other credentials mentioned above is also preferred;
- Remain current with AHA Coding Clinics, CPT Assistant, CMS guidelines;
- Experience with evaluation and management (E&M) level assignment REQUIRED.
KEYWORDS:
- Coding Auditor
- ICD 10
- Evaluation and Management
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- ICD-10: 3 years (Required)
Work Location: In person