Health Ministries Clinic ยท 1 week ago
Coding Auditor
Newton, KS
Full-time
Onsite
Mid Level
$25/hr - $25/hr
3+ years expHealth Ministries Clinic (HMC) is seeking a Coding Auditor to join their integrated care team in Newton, Kansas. The Coding Auditor will ensure compliance with coding guidelines, minimize errors, and support accurate medical documentation and reimbursement processes.
DentalHealth CareNon ProfitPersonal Health
Responsibilities
Reviews designated claims for proper coding before submission. Corrects any errors or discrepancies
Assists Billing Specialists with coding-related questions during billing processes
Works coding-related denials
Works closely with providers to clarify documentation and improve coding accuracy
Responds promptly to manager requests to code or review coded accounts for accuracy
Provides assistance to the leadership team and management with coding of the accounts or answering questions related to coding and workflows
Understands payor rules, medical policy guidelines and documentation requirements (commercial and government) that affect coding
Ensures coding compliance with AMA, CMS guidelines, and state/federal regulations
Meets coding productivity and quality standards
Reviews provider medical records and audits to ensure accurate coding of diagnoses, procedures and services using ICD-10, CPT and HCPCS codes
Prepares detailed audit reports that highlight findings, trends and areas for improvement
Presents findings to management and relevant stakeholders
Effectively interacts and communicates findings with providers
Able to communicate why a code is incorrect, what the correct code should be and why the new code is to be used
Able to communicate what changes in documentation habits needed to make accurate coding selection
Ensure coding compliance with AMA, CMS guidelines, and state/federal regulations
Participates in special reviews or projects, as assigned
Provide new hire training for onboarding providers
Provide on-going support and education to providers
Provide education / training to Billing Specialists
Participate and provide good coding feedback during meetings, education and trainings
Takes initiative to assist others and share knowledge on official coding guidelines
Qualification
Required
High school diploma or equivalent GED required
Active certification is required in one or more of the following, preferred: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Auditing Outpatient Coding (OAC)
Minimum of three (3) years of direct experience in coding/auditing applicable services, and medical chart review for all provider/claim types
Extensive knowledge of ICD-10, CPT, and HCPCS coding systems
Familiarity with healthcare regulations, including HIPAA, CMS guidelines, and payer-specific requirements
Understanding of medical terminology, anatomy, and physiology
Maintains up-to-date knowledge of medical coding guidelines, regulatory changes and industry best practices. Maintains active coding certification
Strong analytical and problem-solving skills
Excellent attention to detail and accuracy, thorough
Effective communication and interpersonal skills, people-oriented
Effective time management
Able to follow directions and work independently
Proficiency with EHR systems, billing software, and Microsoft Office (Outlook, Word, Excel)
Preferred
Certified Professional Coder (CPC)
Certified Coding Specialist (CCS)
Certified Professional Medical Auditor (CPMA)
Auditing Outpatient Coding (OAC)
Benefits
Medical, dental, and vision insurance
Retirement plan with employer contributions
Paid time off and holidays
Competitive salary
Company
Health Ministries Clinic
Health Ministries Clinic provides primary medical, dental, and behavioral health services to patients of all ages.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase