Responsibilities

The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns to assure appropriate procedural terminology and medical codes (e.g., ICD-10-CM) to patient records. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of appropriate coding.

Job Specific Competencies:

• Confirms appropriate diagnosis and/or other coding assigned.
• Analyzes results, enters, and manipulates data for tracking and educational purposes.
• Responds to requests for medical record documentation to third party payer and/or their associates.
• Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
• Makes decisions regarding own work methods, occasionally in ambiguous situations.
• Requires minimal direction and receives guidance where needed.
• Follows established guidelines/procedures.
• Perform other duties as assigned.
  
  
  

JCMG Core Competencies:

• Strives for continuous quality improvement.
• Participates in educational experiences designed to maintain and/or improve professional competence.
• Maintains high work ethic standards.
• Provides quality customer service to staff, patients and visitors at all times.
  
  
  

Minimum Qualifications

Education:

• High school diploma or GED – Minimum
  
  
  

Experience:

• 5 years medical coding and / or audit experience. Certified Medical Auditor may substitute with 2 years experience.
  
  
  

Certification/License:

• CPC, or equivalent certification
• CPMA or other recognized professional or / equivalent auditor certification
• Must obtain CPMA within 1 year of hire or sooner.
  
  
  

Knowledge/Skills/Abilities:

• Computer literate
• Articulate
• Highly organized
  
  
  

WORK ENVIRONMENT

Works in heated and air-conditioned area consistent with a normal office environment.

Benefits

• Health insurance & employer paid short- and long-term disability
• Generous PTO policy, beginning at 148-hours annually
• 56 hours paid Holiday Leave
• Employer Retirement Plan (401K) with employer match
• Tuition reimbursement and other professional advancements, including a Medical Assistant training program