Coding Denial Auditor

Job Summary

A company is looking for a Coding Denial Auditor responsible for reviewing denial coded cases for accuracy and completeness.

Key Responsibilities

• Audit records for coding completeness, accuracy, and compliance with guidelines
• Communicate audit findings and provide expert coding advice to coding staff
• Collaborate with the Regional Manager to identify educational needs and improve coding processes

Required Qualifications

• Bachelor's or Associate's Degree with CCS credential
• A minimum of seven years of hospital inpatient coding experience
• Extensive knowledge of ICD-10-CM/PCS classification system and DRG methodologies
• Expert knowledge of coding and documentation guidelines
• Proficient in MS Office, especially Excel, and various coding software/platforms