What are the responsibilities and job description for the Coding Auditor - Audit and Compliance position at CoxHealth?
Summary
About Us
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:
- Named one of Modern Healthcare’s Best Places to work five times.
- Named one of America’s Greatest Workplaces by Newsweek.
- Recognized as a Greatest Workplace for Women in both 2023 and 2024.
- Listed as one of the Greatest Workplaces for Diversity in 2024.
- Acknowledged by Forbes as one of the Best Employers for New Grads.
- Ranked among the Best Employers by State for Missouri.
Benefits
- Medical, Vision, Dental, Retirement Plan with employer match, and many more!
- For a comprehensive list of benefits, please click here: Benefits | CoxHealth
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The Coding Auditor will work with Coders from Hospital (Inpatient and Outpatient) and Professional Coding to ensure coding adheres to Quality accuracy based on Coding guidelines and other rules set forth to govern Coding practices. This includes the Official Coding Guidelines and AHA Coding Clinic for ICD 10 CM coding and CPT 4 guidelines. The Coding Auditor will participate in developing and maintaining the CoxHealth Coding Guidelines as well working with the Coding Leadership to keep it updated. The Coding Auditor will audit coders on a monthly basis and enter the results in the 3M Audit Expert Compliance software. They serve as the Coding expert in Hospital and Professional Coding and are involved in Coding Leadership meetings. Their expertise will be used to access new products, education changes and working with other departments to resolve issues. Abides by the Standards of Ethical coding as set forth by the American Health Information Management Association and American Academy of Professional Coders.
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Education
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Required: High school diploma or equivalent
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Experience
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Preferred: 1 year experience in hospital or professional coding.
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Skills
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Detailed knowledge of coding guidelines and the ability to apply coding guidelines when reviewing documentation in the medical record.
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Must have experience with detailed knowledge of the format, functions, and use of the medical record.
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Expert knowledge of ICD 10 CM and CPT-4 classification systems.
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Expert knowledge of ICD 10 CM, ICD 10 PCS and MS DRG’s for inpatient coding.
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Ability to perform computer data entry, ability to work with others and communicate effectively.
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Licensure/Certification/Registration
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Hospital/Professional (Outpatient Coding)
Required: AHIMA Approved Credential: RHIA, RHIT, or CCS OR AAPC Approved Credential: CPC or COC or CPC-A
Hospital (Inpatient Coding)
Required: AHIMA Approved Credential: RHIA, RHIT or CCS or AAPC Approved Credential: CIC
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