Certified Coding Auditor
Job Description
Hours/Pay Period: 24/48
North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve. North Country Healthcare is an equal-opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to the Human Resources department at the affiliate to which you are applying.
About North Country Healthcare (NCH):
North Country
Healthcare is a non-profit affiliation of four medical facilities, Androscoggin
Valley Hospital, North Country Home Health & Hospice Agency, Upper
Connecticut Valley Hospital, and Weeks Medical Center, located in the White
Mountains Region of New Hampshire. NCH includes numerous physicians and medical
providers at multiple locations. This leading comprehensive healthcare network
which employs hundreds of highly-trained individuals delivers integrated
patient care through three community hospitals, specialty clinics, and home
health and hospice services. NCH remains committed to the health and well-being
of the communities we serve. As a leader in a management position this role
emphasizes advancing High-Reliability Organization (HRO) principles, embedding
a culture of safety, accountability, and consistent high performance. POSITION SUMMARY: Under the general direction of the Coding Supervisor, HIM
Team Lead, HIM Manager or HIM Director, s responsible for reviewing and
analyzing clinical documentation, coding accuracy, and billing compliance for
healthcare services. The auditor ensures that medical coding and documentation
meet regulatory requirements, internal policies, and industry standards. This
role plays a crucial part in identifying potential coding errors, providing
feedback to improve documentation practices, and helping mitigate financial and
compliance errors. ESSENTIAL QUALIFICATIONS Education: Certification: Skills: ESSENTIAL FUNCTIONS: 1.
Conduct Coding
Audits: Review patient records, charts, and coding data to ensure accuracy,
completeness, and compliance with ICD-10, CPT, HCPCS, and payer-specific
guidelines. 2.
Identify Errors
& Recommend Corrections: Identify discrepancies, coding errors, or
documentation gaps and work with providers and coding staff to correct them. 3.
Provide
recommendations to improve accuracy and reduce errors in future documentation. 4.
Ensure that coding
practices comply with federal & state regulations, payer requirements &
internal organizational policies to minimize risk. 5.
Provide guidance,
education, and training to coders and clinical staff on coding practices,
regulatory changes, and documentation improvements. 6.
Document audit
findings, prepare detailed reports, including recommendations for corrective
action. 7.
Track & monitor
trends in coding errors, denial rates & compliance issues. 8.
Work closely with
clinical staff, coding teams, and management to ensure proper documentation and
coding practices. 9.
Act as a liaison to
resolve coding-related issues. 10.
Stay informed about
updates to coding systems (ICD-10, CPT, etc.), payer policies, & regulatory
requirements. 11.
Ensure the coding
practices align with industry standards. 12.
participate in
quality assurance initiatives to enhance coding accuracy, reduce rework, and
maintain optimal revenue cycle performance. 13. Maintains work area in a clean and orderly manner. 14. Maintains familiarity and operation of all office
equipment necessary to perform duties.
About North Country Healthcare (NCH):
RHIA. CPMA preferred.
Application Instructions
Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!
Apply OnlinePosted: 10/25/2024
Job Status: Part Time
Job Reference #: 9d357900-b3f0-424d-897c-96c5655c8de8