Emory Healthcare Medical Coding Auditor
Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
- Comprehensive health benefits that start day 1
- Student Loan Repayment Assistance & Reimbursement Programs
- Family-focused benefits
- Wellness incentives
- Ongoing mentorship, development, leadership programs...and more
8:00am - 5:00pm / Full Time / 40hrs
Key Responsibilities
- Audit and Review: Conduct regular audits of medical coding to verify accuracy, completeness, and compliance with ICD-10, CPT, HCPCS, and other relevant coding systems.
- Evaluate coding practices against payer guidelines, regulatory requirements, and internal policies.
- Compliance Monitoring: Ensure adherence to federal and state regulations, including CMS guidelines and HIPAA standards.
- Identify and report any discrepancies or violations and recommend corrective actions.
- Reporting and Documentation: Prepare detailed audit reports highlighting findings, trends, and recommendations for improvement.
- Document audit procedures, results, and any issues identified in a clear and concise manner.
- Stay Current: Keep up-to-date with changes in coding guidelines, healthcare regulations, and industry best practices.
- Attend relevant workshops, seminars, and continuing education courses as required.
Minimum Education
- High school diploma or equivalent; Two years post-secondary education in a business or medical related field preferred.
- Two years of experience in a medical billing/coding office; medical management experience preferred, OR any other combination of relevant education and/or experience.
- Coding certification through a nationally recognized organization (AAPC, AHIMA, etc.) Required: CCS-P, CPC, RHIA, RHIT, CCS, CPC-H).
- Strong knowledge of medical terminology, anatomy, and coding systems.
- Strong written and verbal communication skills.
- A thorough understanding of healthcare regulations and excellent attention to detail are essential.
Additional Details
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at Please note that one week's advance notice is preferred.