CLINICAL CODING AUDITOR - INPATIENT

Location
Chesapeake, VA:Elizabeth City, NC:Hampton, VA:Newport News, VA:Virginia Beach, VA
Posted
Apr 06, 2017
Closes
Jul 06, 2017
Function
Audit and Tax
Industry
Healthcare
Hours
Full Time
Job Description:
Sentara Healthcare - located in Virginia Beach, VA is currently recruiting for Full-time Clinical Coding Auditor. This position requires at least 4 years experience coding complex inpatient cases. Up to a $3,000.00 Sign-on bonus for qualified candidate.

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Performs a number of functions including those of physician education, internal auditing, coder education, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines. Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in either APCs or DRGs, and is expected to achieve mastery of at least one payment methodology within one year. Follows audit plan, completing numerous audits and providing follow-up to coders, management, and physicians. Looks for new problem areas, trends, etc., and advises Director of Clinical Coding of same.

Education Level
Associate's Level Degree - Experience in lieu of education: Yes

Experience
Required: Coding - 4 years

Preferred: None, unless noted in the “Other” section below

License
Required: Cert Coding Specialist, Cert Professional Coder

Preferred: Reg Health Information Admin, Reg Health Information Tech

Skills
Required: Communication, Complex Problem Solving, Critical Thinking

Preferred: None, unless noted in the “Other” section below

Other
Associates degree required or 4 years coding experience required in lieu of degree. Minimum 4 years experience coding complex inpatient cases or outpatient cases in an acute care setting. Certified Coding Specialist (CCS) is required for inpatient auditor. Certified Professional Coder (CPC, COC) or CCS is required for outpatient auditors.