Facility:Work From Home - OhioDepartment:Payer Enrollment AdministrationSchedule:Full timeHours:40Job Details:The Internal Coding Auditor plays a pivotal role in ensuring the proficiency and continuous development of all staff involved in coding processes for facility and professional services. The Internal Coding Auditor regularly conducts detailed coding audits and reviews the findings to identify areas where coder accuracy falls below the established standards. This involves working with Coding leaders to advise on implementing corrective actions and providing targeted training to address any deficiencies. The role requires meticulous tracking of coding regulations at both the state and federal levels. The Internal Coding Auditor ensures that all coding practices within the organization comply with these regulations, thereby minimizing the risk of non-compliance. The Internal Coding Auditor must have a thorough understanding of third-party reimbursement guidelines. This knowledge is crucial for ensuring that the organization's coding practices align with the requirements of various insurance providers and other third-party payers.
Department Specific Job Details:
Shift
- Monday-Friday
- 8am-4:30pm
Education
- High school/GED required
Experience
- 5+ years of coding experience required
- Proficient with IDC-10-CM/PCS required
- Auditor experience preferred
- Professional and facility coding experience preferred
- Previous training experience preferred
Certifications
- CPC, COC, CIC, CRC, CCS or CCS-P, RHIA, or RHIT certification is required
- CPMA certification preferred
Skills/Competencies
- Comprehensive knowledge of Official coding guidelines and CPT guidelines required
- Experience with EPIC electronic health record system required
- Knowledge of auditing concepts preferred
Education Requirements:
High School (Required)
Certification/License Requirements:
[Cert] CCS: Certified Coding Specialist - American Health Information Management Association, [Cert] CPC: Certified Professional Coder - American Academy of Professional Coders, RHIA - Registered health Information Administrator - American Health Information Management Association, RHIT - Registered health Information Technician - American Health Information Management Association
Top Skills
What We Do
Dayton Children's Hospital is the only facility in the region devoted to the health, safety and information needs of children and their families.
Dayton Children's is staffed by pediatricians, pediatric specialists and clinical staff with special training and experience in caring for children. In addition, everything from room decor to life-saving equipment in is designed with the comfort of children in mind.
As a regional referral center, Dayton Children's draws patients from a 20-county area that includes Ohio and eastern Indiana. Dayton Children's affiliation with Wright State University School of Medicine and accreditation by the Joint Commission on Accreditation of Healthcare Organizations ensures young patients the finest pediatric care available.
Dayton Children's staff of over 200 physicians and residents includes primary care pediatricians as well as subspecialists in over 35 areas of pediatric medicine. Working as a team with the medical staff are more than 3500 employees and volunteers who share a commitment to quality care no matter what their specific titles or duties.
