Bayhealth · 4 months ago
Coding and Billing Auditor
Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader, and they are seeking a Coding and Billing Auditor to ensure accuracy in coding and compliance with documentation requirements. The role involves auditing medical records, educating providers on coding guidelines, and supporting the coding and billing staff.
Emergency MedicineHealth CareHospital
Responsibilities
Audits medical records for accurate CPT coding assignment. Compiles reports with an analysis of findings from the medical record audits. Ensures the selected CPT code supports the clinical documentation contained in patient record. Consistently meets established productivity targets for record audits
Audits all establish provider medical records on by annual basis:
Audits medical records for accurate CPT coding assignment
Maintains audit lodge for BHMG
Compiles reports with an analysis of findings from the medical record audits
Ensures the selected CPT code supports the clinical documentation contained in patient record
Consistently meets established productivity targets for record audits
Medical Staff Relationship:
Communicates (verbal/written) with providers to validate observations and suggest additional and/or more specific documentation
Designs and implements, in collaboration with the Revenue Cycle Manager specific tools to support medical record physician documentation
Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers
Communicates to participants the benefits of complete clinical documentation
Trains new employees on the BHMG revenue cycle team on coding and documentation guidelines
Assistant Revenue Cycle manager with evaluation of coding activities and the performance evaluation of the revenue cycle personnel as needed
Performs coding procedures as needed and warranted
Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers
All other duties as assigned within the scope and range of job responsibilities
Qualification
Required
Education: Associate Degree
Related field
Credential(s): Certified Professional Coder
Experience: Required: 5 years in Inpatient /Outpatient coding and auditing experience
Preferred
Education: Bachelor Degree Related field
Preferred: Coding in multi-specialty group practice setting
Benefits
Generous Paid Time Off and Paid Holidays
Matching 401(k)/403(b) Plans
Excellent Health, Dental, and Vision
Disability and Life Insurance options
On Site Child Care
Educational Reimbursement
Health Care and Dependent Care Flex Spending Accounts
Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!
Company
Bayhealth
Bayhealth is an advanced non-profit healthcare system that provides penn medicine for heart, vascular, cancer and orthopaedics.
Funding
Current Stage
Late StageLeadership Team
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