Coding Auditor KAL

Performs periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. Responsibilities Audits specified number of records per coder as defined in the system coding audit plan. Prepares audit reports that are issued to key stakeholders, as appropriate. Develops corrective action plans to address opportunities for coding, billing and documentation improvement. Identifies trends and educational opportunities. Prepares and presents educational programs related to coding. Assists in the management of the coding and billing auditing and monitoring program to address high risk compliance areas. Licensure / Certification / Registration Preferred Credential(s): Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA). Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA). Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA). Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC). Education High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable. Seniority level : Entry level Employment type : Full-time Job function : Accounting/Auditing and Finance Industries : Hospitals and Health Care

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