Coding Auditor

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

🚫👨‍🎓 No degree required

👻 Ghost score 15%

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University Hospitals Urgent Care

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

Healthcare

University Hospitals Urgent Care is a network of modern urgent care clinics operated by University Hospitals, providing accessible, walk-in and scheduled outpatient care across northeastern Ohio. Clinics are open 7 days a week (8 a. m. to 8 p. m. ), staffed by board-certified clinicians, and offer services including urgent care visits, COVID-19 testing, virtual visits, vaccines, sports physicals, occupational health, and other routine urgent-care services. Facilities are UCA-accredited, emphasize convenience (walk-in, book-ahead, virtual options), and aim to deliver patient-focused, community-based acute care outside of the emergency department.

📋 Description

• Perform coding audits of provider documentation and assigned CPT and ICD-10 codes • Evaluate whether clinical documentation supports the diagnoses and procedures billed • Identify coding errors, documentation deficiencies, charge-capture issues, and opportunities for improvement • Review coding deliverables from professional coders, physicians, and other healthcare professionals • Provide constructive, educational feedback to providers and coders • Deliver education related to coding requirements, documentation standards, and regulatory updates • Stay current on CMS, state, and payer coding regulations and requirements • Collaborate with the Coding Supervisor and Regional Medical Directors to improve documentation and coding accuracy • Perform charge entry and Charge Review activities as needed • Identify coding trends such as undercoding and recommend corrective actions • Support error correction and process improvement initiatives • Meet established daily production and quality standards

🎯 Requirements

• Active CPC or CCS coding certification through AAPC or AHIMA • Relevant professional coding and/or coding auditing experience • 2+ years of medical billing experience • Urgent Care or Occupational Health billing experience • Experience working with insurance payers, A/R, revenue cycle processes, and denied claims • Experience with billing software and electronic medical records • High school diploma or equivalent • Strong understanding of medical coding and documentation requirements • Excellent critical-thinking and analytical skills • Ability to distinguish between a coding error and a documentation deficiency • Strong attention to detail and commitment to accuracy • Ability to communicate audit findings clearly and constructively • Comfortable providing corrective feedback and educating providers and coders • Strong organizational skills and ability to manage a high-volume workload • Ability to identify coding trends and develop practical solutions • Ability to stay current with coding changes and regulatory requirements • Positive, collaborative attitude and ability to work effectively in a fast-paced environment

🏖️ Benefits

• Full-time remote work arrangement • Opportunity to do meaningful work in a supportive, growing organization • Opportunities to educate providers and coding teams and contribute to professional improvement