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Health Information Management-Medical Coding Auditor-(FT)

Madisonhealth
Rexburg, ID Full Time
POSTED ON 3/1/2025
AVAILABLE BEFORE 4/25/2025

Health Information Management-Medical Coding Auditor-(FT)

The Medical Coding Auditor is responsible for ensuring the accuracy, integrity, and compliance of professional and facility service coding. This role involves conducting audits, providing education to coding staff, and ensuring adherence to coding guidelines, payer policies, and regulatory requirements.

Classification- Full time

  • Monday-Friday 8am-5pm
  • Benefit eligible

Required Skills:

1. Proficiency in professional and facility coding, including evaluation and management (E/M), surgeries and inpatient/outpatient services.

2. Strong knowledge of coding guidelines, medical terminology, anatomy and physiology

3. Familiarity with healthcare billing processes and payer requirements

4. Effective communication and presentation skills to provide education and feedback.

5. Proficient in coding and audit software, electronic health records (EHR) Cerner, and Microsoft Office Suite.

Minimum Work Experience:

1. Minimum of 5 years of medical coding experience, including professional and facility service.

2. Minimum of 3 years auditing experience in multi-specialty hospitals.

Minimum Education:

1. Current certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent (e.g., RHIA, RHIT, CIC).

2. Certified Professional Medical Auditor (CPMA) certification required.

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