Auditor-Internal Coding Senior

Overview

Job Title:                    Auditor-Internal Coding Senior

Dept:                           Corporate Auditing & Consulting

Reports to:                 Director Operations Audit and Special Projects

Summary:

Performs independent and objective assurance and consulting activities designed to add value and improve revenue cycle BMHCC operations.  Critical tasks include risk assessments, internal control reviews and audits performed following internal auditing and ethical standards established by the Institute of Internal audit, with a particular emphasis on coding and billing operations.  Performs other duties as assigned.

Responsibilities:

1. Assists Internal Audit management and other staff on audits requiring coding knowledge and audit expertise.
2. Performs audit planning and risk assessments, staying abreast of coding and reimbursement changes
3. Conducts internal control reviews and assessments, including audits of chart documentation and medical records in accordance with all applicable standards and guidelines.
4. Communicates audit results effectively, promoting quality coding and documentation 
5. Assists external audit firm(s)
6. Completes assigned goals

Requirements, Preferences and Experience

Education

Preferred: 

Minimum:  Bachelor’s Degree

Experience

Preferred:  Eight years coding audit experience for an integrated healthcare system

Minimum:  Three years coding or related experience demonstrating skill and proficiency in IP and OP coding with at least five years’ experience in an acute care facility.

Special Skills

            Preferred:

            Required:  Computer skills including Microsoft Word and Excel and EPIC

Licensure and Certification

Preferred:

Required:   CPC-H, CPC-P, or CCS-P