Coding Auditor - Outpatient jobs in United States
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ECU Health · 9 hours ago

Coding Auditor - Outpatient

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The coding auditor is responsible for ensuring the integrity of medical records by auditing them and confirming that clinical documentation accurately supports the assigned codes, while also providing recommendations and educational opportunities based on audit results.

Hospital & Health Care
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H1B Sponsor Likelynote

Responsibilities

Analyze patient records, including physician documentation, operative reports and other relevant data to verify the accuracy of assigned codes
Proficiency in DRG assignments, ICD-10 CM, ICD-10-PCS, CPT, official coding guidelines, medical terminology, human anatomy and physiology, pathophysiology, pharmacology, and proficiency in Microsoft Office products (Word and Excel)
Excellent verbal and written communication skills
Writes clear, accurate and concise recommendations in support of findings while providing feedback and education to the coders, referencing current ICD-10-CM/PCS, Official Coding Guidelines, CPT guidelines and AHA Coding Clinics
Ability to work independently and exercise independent judgment
Critical thinking skills
Research coding questions asked by coding and other areas in a timely manner
Must have knowledge of the Clinical Documentation Management Program and assist the Documentation Specialist with questions regarding code/DRG assignment
Serves as back up for the Coding Specialist II and Coding Specialist III teams when needed
Make recommendations on coding education and training based on audit results
Other duties and responsibilities, as assigned
Maintains AHIMA credentials, CEU's and up to date knowledge of coding guidelines

Qualification

ICD-10 codingCPT codingMedical coding principlesRHIARHIT credentialAHIMA CCS credentialIndependent judgmentMicrosoft OfficeCritical thinkingVerbal communicationWritten communication

Required

Detailed understanding of medical coding principles, coding guidelines, coding clinics, CPT Assistant
Ability to perform objective medical audits
Advanced ICD-10 and CPT coding expertise
Proficiency in DRG assignments, ICD-10 CM, ICD-10-PCS, CPT, official coding guidelines, medical terminology, human anatomy and physiology, pathophysiology, pharmacology
Proficiency in Microsoft Office products (Word and Excel)
Excellent verbal and written communication skills
Ability to write clear, accurate and concise recommendations in support of findings
Ability to provide feedback and education to coders referencing current ICD-10-CM/PCS, Official Coding Guidelines, CPT guidelines and AHA Coding Clinics
Ability to work independently and exercise independent judgment
Critical thinking skills
Ability to research coding questions asked by coding and other areas in a timely manner
Knowledge of the Clinical Documentation Management Program
Ability to assist the Documentation Specialist with questions regarding code/DRG assignment
Ability to serve as back up for the Coding Specialist II and Coding Specialist III teams when needed
Ability to make recommendations on coding education and training based on audit results
Maintains AHIMA credentials, CEU's and up to date knowledge of coding guidelines
Associate or Bachelor's degree in AHIMA accredited Health Information Management program with credentialing as a RHIA or RHIT
AHIMA certified Coding Specialist (CCS) credential may be substituted in lieu of a degree
5 years or more experience inpatient coding experience

Benefits

Great Benefits

Company

ECU Health

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We come to work every day in order to help you and the 1.4 million people like you across eastern North Carolina.

H1B Sponsorship

ECU Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (5)
2024 (5)
2023 (3)
2022 (6)
2021 (8)
2020 (4)

Funding

Current Stage
Late Stage

Leadership Team

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Brian Floyd
President and COO
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Betsey Kirisits, PHR
HR Business Partner II
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Company data provided by crunchbase