Coding Auditor, Phys Group

Job Description

ECU Health

About ECU Health Medical Center

ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.

Position Summary

• Responsible for the creation and maintenance of audit and education programs that will ensure success for all staff and employed providers based on their specific needs and support accurate, compliant coding practices for ECU Health Physicians in accordance with coding guidelines.

• Conducts internal auditing of medical coding activities using concurrent, prospective and retrospective models as appropriate and/or required.

• Reviews electronic health information to determine accuracy of coding, billing and documentation, including validation of ICD10CM, CPT, HCPCS and modifier assignment related to medical provider professional Part B services according to regulatory and institutional policy.

• Reports findings, both written and verbal, to leadership as necessary to include provision of corroborating regulatory or policy guidance.

• Maintains documentation of all audit activities and communicates the findings with leadership.

• Utilizes findings to generate topics for education and training, including code assignment, process improvement, system logic, risk reduction and reimbursement optimization.

• Develops and coordinates education based on the specific needs of the individual or functional unit.

• Provides orientation and education to newprovider hires.

• Assists coding leadership with education, training and review of coding personnel activities as needed.

Minimum Requirements

• At least 5 years of multidisciplinary physician based coding or auditing experience required.

• Bachelor's Degree in Health Information Management or Associates Degree in Health Information Technology or Medical Office Administration required, or higher.

• RHIA, RHIT, CCS, CPC, or CCS-Pcertification required.

• CCS, CCS-P or CPC and a minimum of 8 years of physician based coding or documentation audit experience may be substituted for the education requirement.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.