Coding Quality Auditor
About Our Client:
The organization operates in the healthcare data and information sector, aiming to improve the flow of health data to create a more connected system. It addresses challenges between care providers, payers, and consumers by removing friction and driving alignment. Using industry expertise and innovative technology, the program helps organizations reduce costs while improving risk management, quality, and revenue growth.
About the Opportunity:
The CODING QUALITY AUDITOR role is focused on ensuring regulatory compliance through audits related to coding quality, regulatory agencies, and quality metrics. This position contributes to risk mitigation and compliance adherence by monitoring laws and regulations and establishing standard policies and best practices. The auditor plays a key role in client-facing interactions and maintains relationships that support quality and compliance outcomes.
Responsibilities:
- Conduct internal audits of inpatient coding charts to identify process gaps and organizational risks
- Analyze audit results to assess potential compliance risks and communicate findings
- Identify and analyze trends that may indicate compliance issues
- Provide performance feedback to coding staff and leadership
- Maintain expert knowledge of coding practices and regulatory requirements
- Ensure adherence to federal, state, and local laws and organizational policies
- Communicate compliance risks and their impact to stakeholders
- Collaborate with regulators to prevent or resolve compliance issues
- Work with internal teams to identify root causes and mitigate risks
- Develop and deliver compliance training
- Advocate for effective compliance programs with internal and external stakeholders
- Partner with learning organizations to implement training offerings
- Support business partners in compliance enforcement
- Provide input on compliance content in training programs
- Assess and address compliance training needs among external stakeholders
- Act as liaison for external quality stakeholders including compliance and data integrity
- Support coding leadership with quality data reporting and educational initiatives
- Perform other duties as assigned by leadership
Requirements:
- High School Diploma or GEDCertification from AAPC or AHIMA (CCS, CPC, RHIT or RHIA)
- Minimum 3 years inpatient facility coding and auditing experience
- At least 1 year collaborating with Clinical Documentation Improvement and quality leadership
- Experience with computer-assisted coding technologies and EMR coding workflows
- Intermediate proficiency in Microsoft Excel, Word, PowerPoint, and SharePointStrong organizational skills with ability to manage multiple projects
- Pay Range and Compensation Package:
The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors.
Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.