Certified Hospital Coding Auditor

Job Summary

A company is looking for a Hospital Coding Auditor.

Key Responsibilities

• Review hospital charges against medical records to determine appropriate code assignments (CPT/HCPCS codes)
• Understand billing and coding requirements for government and commercial payers
• Abstract statistical data from patient records and enter information following facility guidelines

Required Qualifications, Training, and Education

• CPC, CCS, CPC-H (COC), CPMA, CIC, RHIA, RHIT and/or CCS-P certification
• Experience in billing, charge documentation, charge audit, or related revenue cycle activities
• Experience coding multi-specialties preferred, including trauma, orthopedics, cardiology, interventional radiology, and neurology
• Knowledge of CMS guidelines, Ambulatory Payment Classification, and reimbursement structures preferred
• Experience with encoder technology and electronic medical record systems