Coding Auditor
Req #: 40760
Per Diem
Shift: Days
Coding Support Svcs
United Health Services Hospitals
Johnson City, NY
Weekly hours: Per Diem

Coding Auditor

United Health Services is seeking a Coding Auditor to join our UHS team in Binghamton, NY. This position ensures that healthcare organizations have the proper policies and procedures in place to achieve quality medical coding.

This is a per diem position

Shift: Varies- per diem
Hours per week: Varies
Salary range: $27.47-$41.21/hour depending on experience

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Coding Auditor Overview

Perform quarterly internal coding and documentation audits for CDI and inpatient coders. Research, analyze, and respond to inquiries regarding coding and documentation compliance in accordance with all coding guidelines and Medicare/Medicaid regulations. Works closely with the Cobius Team to review all denials and submits written appeals, when appropriate. Responsible for monthly education for the CDI and inpatient coding staff. Assist with coding, documentation, and billing questions to ensure compliant coding and billing. Develop final audit reports based on findings/observations during the audit process to present to providers or other appropriate staff members. Help identify areas for audit opportunities based on industry performance, regulatory focus areas and risk areas within the organization. Customers served include CDI specialists, inpatient coders, physicians, nurses, physician offices, emergency department, managed care contracting dept, quality management, risk management, insurance companies, patient accounting, finance and governmental agencies.

Key Responsibilities and Expectations

  • Conducts and facilitates prospective review of medical records to ensure that coding complies with all coding guidelines and UHS coding policies.
  • Conducts and facilitates prospective review of medical records to ensure that provider documentation complies with externally mandated guidelines to substantiate reimbursement per UHS policy.
  • Facilitates system audits to compare documented services with itemized physician statements to identify discrepancies, preclude inadvertent duplication or incorrect coding, and to retrieve missed charges. Completes insurance audits as directed by the carrier. Completes incentive reviews for payers.
  • Prepares reports of individual employee, provider and departmental activity for distribution to Administration, as requested or deemed appropriate by the Director of Health Information Management.
  • Cooperates and collaborates with Medical Records Department, Physicians’ billing and insurance representatives, Clinical Managers, Compliance team and UHS Internal Auditing team.
  • Maintains knowledge of ICD-9 CM, CPT codes, modifiers and ICD-10.
  • Collaborates with Clinical Documentation Specialists and Coding Educators to identify areas of educational opportunity to improve compliance. Maintain current knowledge and educate providers, supervisors, and office staff on the legislation changes, changes in CPT, ICD-10 CM codes, and coding guidelines - changes in the rules and guidelines for Medicare, Medicaid and other major payers.
  • Maintains CEUs necessary for AHIMA and/ or AAPC credentials.

Position Qualifications

Minimum:

  • RHIT, CCS or RN
  • Three (3) years of inpatient coding experience

Preferred:

  • RHIA
  • Auditing experience in the health care field

License/Certification

Minimum Required:

  • RHIT, RHIA, CCS or RN

Preferred:

  • See information above; level of education/experience is tied to certification.

About United Health Services

United Health Services is a not-for-profit healthcare system serving more than 500,000 people in Upstate New York’s Southern Tier region. We offer integrated healthcare services across 60 locations, including four hospitals, three walk-in centers, and 22 primary care offices, in addition to home care services and senior living facilities. The United Health Services system employs more than 6,300 people and comprises 600+ providers who are all committed to providing and supporting the delivery of exceptional patient care.

United Health Services employees and providers are “LOVED!” This means we’re Living Our Values Every Day. Here, you’ll join a team that is dedicated to values-based, coordinated patient care. Every day, we outwardly live our Values of Compassion, Trust, Respect, Teamwork, and Innovation.

About New York’s Southern Tier

As an employee of United Health Services, you’ll call the Southern Tier, or more specifically, the Greater Binghamton area, home. Known for entertainment and restaurants, craft brews, outdoor experiences, minor-league sports, family-friendly events, and a keenness for local history (like our connection to the Twilight Zone and our six antique carousels), Greater Binghamton offers something for everyone. We’re a short drive away from the Finger Lakes region in Central New York, three hours from New York City, and just shy of four hours from Niagara Falls, Canada.

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United Health Services in an Equal Opportunity Employer.

United Health Services, Inc. and the members of the UHS System neither are affiliated with, sponsored, endorsed nor approved by, nor otherwise associated with, Universal Health Services, Inc. (NYSE: UHS), UHS of Delaware, Inc. nor their affiliates, which can be found at www.uhsinc.com.

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Crystal Travis
Crystal Travis
Recruiter
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Benefits That Make A Difference

While you’re making a difference in the health and well-being of our patients and communities, United Health Services takes care of you. We are proud to be able to offer our employees and providers a comprehensive benefits package that supports their needs today and for the future with a competitive retirement plan; comprehensive health, dental, vision and health savings and spending accounts; wellness programs that empower our employees to stay healthy and balance work and life goals; group life and disability options; and a generous paid time off (PTO) program. On top of that, we invest in you by offering tuition reimbursement and other programs designed to help you grow your career. The majority of these benefits are available to you for working at least 24 hours per week.

These are just a few of the perks and benefits you can expect when you join the United Health Services team. Be sure to ask your recruiter about all the benefits associated with the position you’re applying for.

Why United Health Services?

We are one of the region’s top employers with an excellent reputation for the care we provide. Our pay, benefits and perks are very competitive. We’re compassionate about patients and respectful of each other. We offer you the stability, size, scope and capabilities of big city health systems, but with the trust and familiarity of more personalized care. We’re engaged with our communities. And, we recognize the importance of work-life balance. Discover the difference you can make, here with us, at United Health Services.

About Our Region

Binghamton, a friendly and close-knit city in Broome County, offers beautiful and affordable homes in downtown, suburban and rural settings, as well as good public and private schools. Nightlife and cultural activities include craft breweries, restaurants and award-winning wineries. First Fridays celebrate local artists and there are frequent music and food festivals. Outdoor activities also abound, from skiing and golf to hiking, biking and more.