McLaren Health Care
Coding Auditor Professional - Remote
McLaren Health Care, Utica, Michigan, United States, 48316
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Coding Auditor Professional - Remote
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McLaren Health Care . Position Summary:
Responsible for working with physicians, coders, ancillary department staff, Clinical Documentation Improvement (CDI), and other allied health professionals to improve documentation of patient care and appropriately assign codes and/or determine charges to support those services. Essential Functions and Responsibilities: Complete quality assurance audits on professional coding specialists, onboard new hires, validate accurate data abstraction, and ensure coding compliance. Optimize reimbursement, improve data quality, and ensure consistency in documentation, code assignment, and claims processing. Perform retrospective, random, and focused audits to ensure correct coding, legal compliance, and complete charge capture. Evaluate proper assignment of procedure, modifier, and diagnosis codes for accuracy and compliance. Report audit results, identify educational opportunities, and provide training and support. Analyze audit data to identify risk issues, revenue leakage, and educational needs. Required Qualifications: Associate degree in HIT, Applied Science, Liberal Arts, or related healthcare field. At least 1 year of evaluation and management (E&M) coding experience in any medical specialty. 3 years of surgical and outpatient procedural coding experience. Certification in one of the following: RHIA, RHIT, CCS, CPC, CCS-P, CCC, COC, CIC, CHONC, ROCC. Preferred Qualifications: 1 year of audit experience. Additional Information: Schedule: Full-time Location: Detroit, MI Salary: $130,000 - $150,000
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Coding Auditor Professional - Remote
role at
McLaren Health Care . Position Summary:
Responsible for working with physicians, coders, ancillary department staff, Clinical Documentation Improvement (CDI), and other allied health professionals to improve documentation of patient care and appropriately assign codes and/or determine charges to support those services. Essential Functions and Responsibilities: Complete quality assurance audits on professional coding specialists, onboard new hires, validate accurate data abstraction, and ensure coding compliance. Optimize reimbursement, improve data quality, and ensure consistency in documentation, code assignment, and claims processing. Perform retrospective, random, and focused audits to ensure correct coding, legal compliance, and complete charge capture. Evaluate proper assignment of procedure, modifier, and diagnosis codes for accuracy and compliance. Report audit results, identify educational opportunities, and provide training and support. Analyze audit data to identify risk issues, revenue leakage, and educational needs. Required Qualifications: Associate degree in HIT, Applied Science, Liberal Arts, or related healthcare field. At least 1 year of evaluation and management (E&M) coding experience in any medical specialty. 3 years of surgical and outpatient procedural coding experience. Certification in one of the following: RHIA, RHIT, CCS, CPC, CCS-P, CCC, COC, CIC, CHONC, ROCC. Preferred Qualifications: 1 year of audit experience. Additional Information: Schedule: Full-time Location: Detroit, MI Salary: $130,000 - $150,000
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