Clinical Documentation Integrity Coding Auditor
Clinical Documentation Integrity Coding Auditor
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Who You Are
Youre a collaborative professional driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare dont deter youinstead you see them as opportunities to find innovative solutions that benefit the partners people and communities we serve. Honest Healths commitment to purpose innovation communities and kindness resonates with you inspiring you to bring commitment creativity and compassion into your work. Youre ready to join a team focused on reimagining primary care for a healthier future that benefits all.
Does this sound like you If so we should talk.
Who We Are
At Honest Health we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholdersfrom health systems physician organizations and payers to providers practices and patients to deliver innovative solutions that elevate care control costs and support longterm health. Guided by our core values were creating a valuedriven model that creates lasting benefits for everyone now and into the future.
For us thats just an Honest days work.
Your Role
As a Clinical Documentation Integrity Coding Auditor you will be responsible for conducting comprehensive audits of clinical documentation and medical coding to ensure adherence to coding guidelines regulations and industry standards. You will analyze medical records physician documentation and coding assignments to identify discrepancies and coding errors that may impact reimbursement and compliance. The Coding Documentation Integrity Coding Auditor will collaborate with coding professionals CDI specialists and healthcare providers to clarify documentation queries and improve documentation quality and specificity. You will play a crucial role in educating and training staff on coding guidelines providing feedback for improvement and participating in quality initiatives to enhance coding accuracy compliance and revenue integrity. Ultimately your expertise and attention to detail contribute to optimal reimbursement compliance with regulatory standards and improved overall documentation practices.
Primary Functions of the CDI Coding Auditor Include:
- Conduct comprehensive audits of clinical documentation and medical coding to ensure compliance with coding guidelines regulations and industry standards.
- Analyze clinical documentation to identify discrepancies coding errors and documentation gaps that may impact coding accuracy reimbursement and compliance.
- Collaborate with CDI department and healthcare providers to clarify documentation queries improve documentation quality and enhance coding specificity.
- Provide education and training to physicians clinicians and coding staff on proper documentation practices coding guidelines and regulatory requirements.
- Prepare detailed audit reports that include findings recommendations and action plans.
- Present audit results to management coding teams and other necessary parties highlighting areas of concern and opportunities for improvement.
- Communicate coding updates regulatory changes and compliance requirements to coding staff and healthcare providers.
- Perform other related responsibilities as assigned.
How You Qualify
You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.
- A high school diploma or equivalent is required. A degree in health information management (HIM) medical coding or a related field is preferred
- Must hold a Certified Coding Specialist (CCS) Certified Coding SpecialistPhysicianBased (CCSP) Certified Professional Coder (CPC) Certified Professional Medical Auditor (CPMA) or Certified Risk Coder (CRC) credential
- 3 years of coding experience and Medicare Advantage Risk Adjustment in outpatient healthcare setting
- Prior experience in clinical documentation improvement (CDI) is highly desirable; familiarity with CDI processes documentation integrity and clinical documentation improvement programs is preferred
- Extensive knowledge of medical coding systems and guidelines including ICD10CM CPT and HCPCS Level II coding
- Experience working with clinical documentation improvement (CDI) programs and familiarity with CDI best practices
- Solid understanding of healthcare reimbursement methodologies and regulatory compliance requirements
- Strong analytical and critical thinking skills with the ability to identify patterns trends and areas for improvement
- Excellent communication and interpersonal skills to collaborate effectively with healthcare professionals and coding staff
- Proficient in using electronic health record (EHR) systems coding software and other healthcare technology platforms
- Proficient computer skills
- Excellent communication skills both verbal and written
- Attention to detail and accuracy with a commitment to maintaining high standards of documentation integrity
- Strong organizational and time management skills to prioritize tasks and meet deadlines
The base pay range for this role is $31.10 $34.95. Compensation takes into account several factors including but not limited to a candidates experience education skills licensure and certifications and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for shortterm incentives and a comprehensive benefits package.
How You are Supported
Full time team members may be eligible for:
Competitive Compensation
- Attractive base salary with performancebased bonuses and rewards
- 401(k) plan with a generous company match fully vested from day one
Comprehensive Health and Wellness Benefits
- Flexible health dental and vision insurance options tailored to your needs
- Company contribution towards health savings accounts (HSA) for highdeductible health plan (HDHP) participants
- 100 companypaid shortterm disability longterm disability and life insurance
- Wellness programs and resources to support your physical and mental health
WorkLife Balance
- Generous paid time off including vacation sick leave and 11 paid holidays annually
- Two paid volunteer days to support causes youre passionate about
- Flexible work arrangements to accommodate your lifestyle
Professional Development
- Robust onboarding program and ongoing training opportunities
- Reimbursement for rolerelated continuing education and certifications
FamilyFriendly Policies
- Paid parental leave for new parents
- Dependent care flexible spending accounts
- Support for worklife integration
Collaborative and PurposeDriven Environment
- Work alongside professionals who share your commitment to Honests highquality valuebased care model
- Opportunities to contribute to meaningful projects and initiatives
Additional Perks
- Team member recognition programs
- Teambuilding events and social activities
Join us and experience a rewarding career where your contributions are valued and your growth is supported.
Honest Health is committed to ensuring fairness opportunity strong teams and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit without regard to race color religion sex national origin disability Veteran status or other legallyprotected characteristics.
Honest Health is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email for assistance. Reasonable accommodation will be determined on a casebycase basis.
Honest Health values a secure and transparent recruitment process. We contact candidates through our official recruiting platform email or text message. When working directly with candidates Honest Health will always use an or email address. Our hiring process includes a live phone call or inperson interview before any formal offer is extended.
To safeguard your personal information Honest Health will never ask for confidential detailssuch as social security numbers bank accounts or routing numbersbefore making a formal offer. We will also never request financial transactions PINs passwords or security access details through email text Venmo or any social media platform.
We encourage all candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication please reach out to our team at.
Employment Type
Full Time
