St. Tammany Parish Hospital
The Coding Auditor will work closely with the PFS Supervisor and other PFS leaders to ensure coding accuracy for appropriate billing of claims and reporting accuracy. This individual will be primarily responsible for ensuring the charge capture processes are clearly defined and optimized and that the codes that end up on the claims, regardless of coding source, are appropriate. The coding auditor will collaborate with the HIM team, Revenue Cycle teams and applicable clinical areas to support accurate and timely charge capture and coding. This position will also conduct ongoing and scheduled audits of outpatient and inpatient coding, and physician office coding of claims. Works with Directors, Department Heads, Managers and clinicians as appropriate from all areas of the organization to assess the effectiveness of these processes and work collaboratively to develop and implement solutions for improvement. Position may require working at multiple locations.
Minimum Qualifications: Bachelor's degree from four-year college or university; or other independent study coding program. The Coding auditor should have minimum of two years coding experience or three year combination of certification and related medical experience. An understanding of revenue cycle processes, requirements and best practices preferred.
Preferred professional certification CPC, CCS, CCSP, COC or CRC
Considered professional certification with related experience - CCA
Considered specialty certification with advanced experience CCC, CCVTC, CEMC, CFPC, CGSC, CHONC, COSC or CPEDC
Up-to-date knowledge of ICD-10, CPT, HCPCS Level II and III, APC, APG, modifiers, revenue codes, CCI edits, unique coding and compliance challenges, and bundling/unbundling. Self-directed with strong analytical and operational problem solving skills. Strong analytical background with ability to translate very technical information and findings to others.
Must possess good physical health. Some requirements include but are not limited to standing, sitting or walking for long periods of time. Lifting at least 20 pounds is required.
Physical Effort required:
Constant (67%-100%) talking, hearing, seeing
Frequently (34%-66%) NONE
Occasionally (1%-33%) - lifting, carrying, pushing/pulling, climbing (stairs, ladders, poles, etc.), balancing, crouching, crawling, reaching, handling/feeling