Vail Health · 18 hours ago
HIM Coding Auditor
United States
Full-time
Remote
Senior Level
$32.43/hr - $44.75/hr
5+ years expVail Health is the world’s most advanced mountain healthcare system, consisting of a state-of-the-art facility that provides exceptional care. The HIM Coding Auditor will audit coding activities to ensure compliance and accuracy, working closely with coding specialists and providers to maintain quality standards.
Health CareHospitalMedicalNon ProfitOncologyTherapeuticsWellness
Responsibilities
Conducts monthly reviews of coding quality by auditing pre and post bill records for coding compliance and records quality for each coder
Reviews findings with the individual coding specialists and, when appropriate, provides education to address deficiencies
Tracks and reports findings to the Coding Manager
Conducts quarterly reviews of coding quality and records quality for each assigned provider
Reviews findings with the individual providers or provider groups and, when appropriate, provides education to address deficiencies
Competent in accessing and using an encoder (3M)
Tracks and reports findings to the Coding Manager
Competently performs all duties of a Coding Specialist III
Collaborates with others in the organization including Medical Staff, other clinicians, and physician office staffs; and with Patient Financial Services to ensure the codes submitted for claims are supported by the documentation in the record
When querying clinical staff, uses appropriate querying techniques to avoid leading the clinician and follows up to ensure queried accounts are dropped within 10 days of the query
As needed, involves the department leader
Participates in various hospital/physician committees as appropriate and prepares and provides provider in-services
Attends all required in-services and coder meetings
Identifies and attends training and educational programs conducive to professional growth
Utilizes current literature and workshops attended to the benefit of the organization
New ideas, policies, regulations, and philosophies are adapted to current policies and procedures appropriately
Shares coding policies, procedures, and coding guidance routinely with staff
As necessary, tests staff on their level of understanding the shared materials
Arranges for routine in-service options for coding staff
Locates CMS and third-party payer websites for coding requirements and medical necessity guidelines
Supports the philosophy, objectives, and goals of the organization and department by volunteering in various capacities without compromising performance expectations
Role models the principles of a Just Culture
Contributes to the efficiency of the department
Routinely volunteers to assist others when work is completed
Routinely abides by standards of professional and ethical conduct as defined by CMS, AHIMA, and the professional organization from which the incumbent is certified and/or credentialed
Understands and complies with policies and procedures related to medicolegal matters including confidentiality, amendment of medical records, release of information, patient rights, medical records as legal evidence, informed consent, etc
Is knowledgeable of and complies with HIPAA, Safety and Compliance Program Policies and Procedures
Role models the principles of a Just Culture and Organizational Values
Performs other duties as assigned
Must be HIPAA compliant
Qualification
Required
5 years coding experience in an acute care setting coding all types of hospital visits/admits with a high degree of skill in outpatient facility and professional coding is required
2 years of experience in an acute care setting coding of all types of hospital visits/admits with a high degree of skill in inpatient coding is required
One of the following certifications required: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS/CCS-P), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA)
Graduate of a coding certificate program, associate or bachelor's degree in health information technology, or other allied health field required
Preferred
Experience in orthopedic, spine, cancer, and behavioral health coding a plus
2 years of experience in internal auditing and/or coding education preferred; prefer multi-healthcare setting experience
Courses in anatomy, medical terminology, physiology, and/or pharmacology preferred
Benefits
Competitive wages
Parental leave (4 weeks paid)
Housing programs
Childcare reimbursement
Medical
Dental
Vision
Tuition Assistance
Existing Student Loan Repayment
Specialty Certification Reimbursement
Annual Supplemental Educational Funds
Up to five weeks in your first year of employment and continues to grow each year.
403(b) Retirement plan with immediate matching
Life insurance
Short and long-term disability
Up to $1,000 annual wellbeing reimbursement
Recreation discounts
Pet insurance
Company
Vail Health
Vail Health is a healthcare system that provides surgery, childbirth, physical therapy, endocrinology, emergency and cancer care services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Will Cook
President, CEO
Recent News
2025-04-19
2024-04-08
2024-02-19
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