Coding Auditor/Educator

Job Details

Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare!

ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of “America’s Best Hospitals” by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition®.

PRIMARY FUNCTION:

The Coding Auditor is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to ensure appropriate reimbursement for services across all practices/units (acute and ambulatory settings) to include review of accurate and timely assignment of ICD-10 CM/PCS, HCPCS/CPT codes. This role provides training and education to our physicians and mid-level providers of the Christiana Care Medical Group.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Performs coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid Services (CMS) guidelines and provide ongoing feedback and analysis of the education needs for the providers and staff.

Review and assess supporting documentation in patient medical records for appropriate ICD-10, CPT, HCPCS coding.

Initiate follow-up activities verifying correction of errors.

Identify coding and documentation error trends enabling targeted provider education.

Assist with annual review of CPT/ICD - 10 updates and implementation of identified changes.

Assist with annual CMS updates and implementation of identified changes, and maintain knowledge of Medicare and Medicaid billing practices, coding guidelines, laws, and regulations.

Follows appropriate documentation and coding procedures based upon established guidelines.

Lead contact for billing questions related to services within Service Line rendered within the practices/units.

Facilitates education during time of on-boarding for all new clinicians regarding effective documentation, coding, and billing guidelines.

EDUCATION AND EXPERIENCE REQUIREMENTS:

High School diploma or equivalent and/or Associate’s degree

A minimum of 4 years of coding experience.

At least 2 years of physician auditing experience.

Christianacare Offers:

Full Medical, Dental, Vision, Life Insurance, etc.

403(b) with company match

Generous paid time off

Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!

Post End DateJun 14, 2024

EEO Posting Statement

Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

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