Coding Auditor

4 days ago

🇺🇸 United States – Remote

🎸 Tennessee – Remote

Although this job is listed in Tennessee, this company may be open to hiring remote in other states.

🤠 Texas – Remote

Although this job is listed in Texas, this company may be open to hiring remote in other states.

+1 more states

🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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Wellstar Health System

WebsiteLinkedInAll Job Openings

Cardiovascular • Pulmonary • Cancer • Women and Babies • Musculoskeletal

10,000+ employees

Founded 1992

⚕️ Healthcare Insurance

Description

• Reviews chart documentation to ensure appropriate coding and DRG assignment. • Educates staff when errors are identified. • Coordinates payment corrections with Billing and Revenue Cycle team. • Conducts medical record reviews to ensure compliance with coding and regulatory standards. • Supports and provides coding and compliance training to staff. • Develops written policies promoting WellStar's commitment to compliance.

Requirements

• Excellent communication, organization, and educational skills. • Extensive knowledge of medical terminology, ICD-10-CM and ICD-10-PCS coding (as well as ICD-9-CM), CPT-4 procedural coding (including Level II HCPCS), and all coding and billing guidelines. • Hospital billing experience with focus on government payors. • Extensive experience with (electronic) medical record chart review and/or extraction, hospital billing. • Extensive experience with Medicare, Medicaid, and reimbursement rules and regulations. • Experience with management information systems and medical software. • Competence in Microsoft Word and Excel software in a Windows environment (Experience with Microsoft Access Is a plus).