Hybrid Coding Education, Quality Auditor – CPC, CCS-P

at Northeast Georgia Health System

• Job title: Coding Education, Quality Auditor – CPC, CCS-P
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: High School Diploma
• Location requirements: Hybrid, Oakwood, United States

About the role

• Coding Education & Quality Auditor conducting audits for NGPG/NGHS Providers. Ensuring compliance with documentation and coding standards while providing education to physicians and coders.

Responsibilities

• Conduct coding/billing/documentation audits of all NGPG/NGHS Providers
• Determine organizational integrity of coding/billing for professional services
• Ensure the medical necessity of services and compliance with documentation, coding and billing standards
• Apply standardized audit scoring methodology to evaluate consistency of documentation and coding
• Communicate audit results to physicians, physician leadership, senior management, Compliance department and staff
• Provide physician and coder education and make recommendations for corrective action
• Evaluate the quality of clinical documentation to identify incomplete or inconsistent documentation

Requirements

• CPC and/or CCS-P Coding Certification
• CPMA, CEMC or other Nationally recognized healthcare auditing certification required at hire, or required to obtain within 6 months of hire
• High School Diploma or GED
• Minimum three (3) years experience coding and/or auditing Multi-Specialty records required
• Medical Terminology or Anatomy course required
• Demonstrated experience in conducting education to providers and large audiences required.
• Detailed knowledge of ICD-9, ICD-10, CPT and HCPCS coding principles and medical terminology
• In-depth knowledge of best practice coding policy and procedures
• Highly skilled proficiency with Microsoft Office products, advanced proficiency in Excel and Powerpoint

Benefits

• Health insurance
• Retirement plans
• Professional development