Coding Auditor Revenue Integrity FT 1.0 (80 hrs biweekly) (72448)

In an environment of continuous quality improvement the Coding Auditor will assist in the review of medical records documentation to ensure completeness accuracy and compliance with applicable federal and state regulations and guidelines. The Coding Auditor will also be responsible for all documentation and coding education that is provided to the coding staff and providers. Exhibits the Standards of Excellence and exercises strict confidentiality at all times.

Job Functions:

1. Manages quality improvement audits and training of designated coding staff and providers.
2. Researches analyzes and responds to internal and external inquiries regarding compliance inappropriate coding denials and billable services.
3. Acts as expert coding resource to coders clinical documentation improvement providers and other departments within the hospital or provider clinics.
4. Provides technical support regarding coding compliance documentation; electronic medical records regulatory provisions and third party payer requirements.
5. Develops and maintains coding related policies procedures query development and training materials in conjunction with management.
6. Organizes facilitates performs tracks trends and reports on internal quality reviews.
7. Ensures audit (external and internal) recommendations are completed (ie education coding changes or rebills)
8. Ensures strict confidentiality of financial records.
9. Communicates with the coding management are denial trends coding or documentation issues and any pending audits or education.
10. Remain informed about coding issues to comply with federal regulations and updates the coding team.

Minimum Education/Experience Required:

• High School Diploma/GED required.
• Bachelors degree in Health Information Management or related field preferred.
• Coding certification (i.e.CCS CPC COC CIC RHIT RHIA) with 4 years coding experience required.
• Previous supervisory or management experience preferred.

Special Knowledge Skills Training:

• Knowledge of coding guidelines; CPT ICD-10-CM ICD-10-PCS MS-DRG HCC APR-DRG and HCPCS assignment.
• CCI edits LMRP federal and state compliance and/or regulatory guidelines.
• Reimbursement methodologies and healthcare information systems.
• Computer knowledge (Windows Based) including word processing and spreadsheets.
• Must be able to communicate written and orally with professional and technical staff.
• Must also possess organizational and time management skills.
• Must also be able to train and mentor others.

Compensation Details: Education experience and tenure may be considered along with internal equity when job offers are extended.

Benefits: Memorial Health System is proud to offer an affordable comprehensive benefit package to all full time and flex time employees. To learn more about the many benefits we offer please visit our website at

Bonus Eligibility: Available to qualifying full or flex time employees. Eligibility will be determined upon offer.

Memorial Health System is an equal opportunity provider and employer.

If you wish to file a Civil Rights program complaint of discrimination complete the USDA Program Discrimination Complaint Form found online at or at any USDA office or call to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue S.W. Stop 9410 Washington D.C. 20250-9410 by fax or email at.

*Memorial Health System is a federal drug-free workplace. This policy prohibits marijuana use by employees.