What are the responsibilities and job description for the Behavioral Health Coding Auditor (remote in Oregon) position at Greater Oregon Behavioral Health, Inc?
Greater Oregon Behavioral Health, Inc. (GOBHI) has an immediate opening for a full-time Behavioral Health Coding Auditor. This key position will be based out of the employee’s home office, which will need to be located within the state of Oregon.
The Behavioral Health Coding Auditor is responsible to ensure compliance with payment integrity rules. . Provide monitoring of network provider payment integrity, efficiency, and compliance with organizational contracts. This position also provides project management support in key behavioral health initiatives.
Essential duties include:
- Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT, HCPCS) and documentation compliance.
- Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines.
- Prepare detailed audit reports with findings and provide feedback on documentation and coding practices.
- Collaborate with relevant departments/providers to resolve audit findings and ensure ongoing compliance with policies and regulations.
- Stay current with changes in coding guidelines, healthcare regulations, and payer policies.
- Assist in developing and refining audit tools, policies, and procedures to support continuous improvement.
- Monitor and track corrective actions post-audit and ensure follow-up to resolve identified issues.
- Complete subcontractor or provider audits both on-site and desk.
- Drives to meetings or other GOBHI locations as needed.
- Performs other related duties as assigned.
What is needed to succeed in this role:
- Current credential from AHIMA/AAPC required.
- Two years’ experience in auditing and monitoring or certification in behavioral healthcare compliance setting preferred.
- Ability to communicate effectively at multiple levels.
- Effectively work with a variety of community stakeholders.
- Strong planning and organizational skills.
- Technology savvy – comfortable using MS and Google Suite software products. High level of proficiency in Excel or Google sheets.
- Maintains good driving record and required vehicle insurance.
- Education – Bachelor’s degree in health/human services field or equivalent years of experience required.
What we offer:
- Competitive salary – $70,000
- Additional compensation for proven bilingual skills in Spanish
- Medical, dental and vision insurance for you and dependents
- Generous paid time off
- Professional Development and Tuition Reimbursement
- EAP
- FSA, with a $500 employer contribution
- Triple AAA insurance
- Mileage reimbursement
- Wellness benefits
- 401k contribution, including 6.5% employer contributions
- Cell phone and internet reimbursements
About GOBHI:
Founded in 1994, Greater Oregon Behavioral Health, Inc. is an innovative behavioral health organization that serves communities across Oregon. GOBHI is a 501(c)(3) nonprofit corporation that is charged with administering the behavioral health Medicaid benefit, non-emergent medical transportation and community engagement in 12 rural and frontier counties in Oregon.
GOBHI is a co-owner of the Eastern Oregon Coordinated Care Organization, along with Moda Health, and also provides various direct services statewide. GOBHI is committed to better health, better care, and lower costs. Please visit www.gobhi.org to learn more about our mission and services.
Salary : $70,000
