HealthSource of Ohio ยท 2 weeks ago
Coding Auditor and Trainer
HealthSource of Ohio is a not-for-profit community health center in Southwestern Ohio that provides quality, patient-centered primary and preventative care for all. They are seeking a Coding Auditor and Trainer to conduct coding audits, provide training, and ensure compliance with coding guidelines.
DentalHealth CareHealth DiagnosticsNon ProfitPrimary and Urgent Care
Responsibilities
Conduct regular coding audits for all HSO clinicians to verify that CPT, ICD-10, and HCPCS codes are assigned correctly and in compliance
Detect coding discrepancies, documentation deficiencies, and billing errors
Provide feedback and training to clinicians, coders, and clinical staff
Assist in the preparation of reports and audits to demonstrate compliance and identify areas for financial improvement
Support risk adjustment coding to ensure accurate documentation, appropriate reimbursement, and compliance with Medicare Advantage and other risk-based payment models
Lead coding and documentation training sessions as part of the onboarding process for new clinicians
Regularly review and update coding education materials, presentations, and resources
Maintain all audit reports and provide weekly updates to the billing and coding manager
Regularly review CMS and OIG Work plan to identify areas of potential risk to HSO
Identify gaps in documentation
Assist with new coder training as needed
Qualification
Required
Strong knowledge of CPT, HCPCS, and ICD-10-CM guidelines required
Current CPMA or CPC with audit experience required
1-2 years of experience required
High School Diploma (or equivalent) and Specialized Training required
Benefits
Paid Time off & Long-Term Sick Bank hours
Full Health Benefits Package
Courtesy Care Benefits
Health Savings Account funds
Student Loan Forgiveness program
Tuition reimbursement
Employer contribution driven retirement plan
Complimentary scrubs