Coder Auditor-Professional

Coder Auditor-Professionals are responsible for auditing coding assignments with providers and coders, training coding professional staff, and pro‑fee based coding which includes the assignment of ICD‑CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. They interact with medical staff, nursing, ancillary departments, provider offices, and outside organizations.

At this time, we are only able to consider applicants who reside in the following states:
Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas.

• Assists coders with coding questions.
• Conducts the collection and reporting of provider and coder audit results and education.
• Works with coders and providers to ensure appropriate documentation for clinic services.
• Reports results to Coding Supervisor
  - Professional.
• Demonstrates ability to code all types of encounters.
• Meets quality standards of having 95% of diagnoses and procedures appropriately and/or correctly coded.
• Ensures data quality and optimum reimbursement allowable under the federal and state payment systems.
• Refers trend patterns of coding and documentation to Coding Supervisor – Professional.
• Responsible for coding quality audits for E/M Audit Program.
• Analyzes and confirms assigned encounters for provider’s selection of EM code level utilizing EM code level selection auditing tool for accuracy.
• Analyzes and confirms assigned encounters for coder’s selection of diagnoses and procedures codes for accuracy.
• Reviews records thoroughly to ascertain all diagnoses/procedures.
• Codes all diagnoses/procedures in accordance to ICD-CM and CPT coding principles, official guidelines and regulations.
• Trains new coding staff on coding systems and processes.

• High School Diploma (Required)
• CEMA
  - Certified Evaluation & Management Auditor within 6 months – Sarah Bush Lincoln
• Certified Professional Coder – Sarah Bush Lincoln
• CPMA
  - Certified Professional Medical Auditor within 1 year – Sarah Bush Lincoln
• Registered Health Information Technician (RHIT) – American Health Information Management Association
• Registered Health Information Administrator (RHIA) – American Health Information Management Association

Estimated Compensation Range: $23.87 - $37.00 per hour, pay based on experience, starting at $23.87.