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Coding & Auditing Specialist

Location: NORFLK, Virginia
Work Setting: Hospital
Job Function:
Auditor, Coder, Coding – Auditor
Job Type:


“At CHKD, working to improve the lives of our community’s children is a twofold endeavor, deeply ingrained in our mission, our history and our daily work.”
Jim Dahling, CHKD president and CEO


Children’s Hospital of The King’s Daughters Health System will lead the region as the preferred provider of quality children’s health services.


In leading the region in the provision of children’s healthcare services, CHKD will:

  • Deliver excellence in quality and service as we continually measure and improve our outcomes;
  • Evolve and enhance services in response to the needs of children and the advancement of science;
  • Educate the next generation of leaders in children’s health;
  • Be the healthcare employer of choice; and
  • Collaborate with others to attain our vision.

Job Description

Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines.   Knowledge of surgical coding and the ability to review and natively code complex operative procedure reports.  In accordance with Coding Compliance team guidelines, conduct provider audits and provide ongoing education to physicians to maximize compliance and reimbursement.   Responsible for the collection of relevant, pertinent, accurate and timely diagnosis and/or procedural codes abstracted from all office and hospital case types including complex medical/surgical inpatient cases (such as neonates, pediatric cardiothoracic surgery, pediatric neurosurgery, pediatric orthopedics, pediatric plastic surgery, pediatric urology, general pediatric surgery and pediatric trauma services.) or other advanced types of services including surgical, observation, outpatient, and specialty procedures. This includes effective use of encoding and edits systems and resources as well as recognizing what data can be abstracted, presented and interpreted for coding and billing..     Interact with and provide support to Billing office and facility staff to answer questions and resolve rejected fee tickets and claims.


Employ strong understanding of the encounter/billing process, and working knowledge of payers, as well as, their impact on reimbursement. Utilize medical reference resources and contacts to thoroughly research coding issues and to maintain working knowledge of payment/reimbursement systems to ensure maximum reimbursement and coding compliance.  Identify opportunities for billing/coding improvements. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, criteria for benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.  Meet or exceed productivity and quality standards as assigned by management.

Take responsibility for various projects as assigned by management and perform any additional/miscellaneous duties (not inclusive of job description) as requested by the management team within the scope of knowledge/ability.

Work as a team player and communicate in a positive manner with co-workers, managers, providers, and other contacts.   Maintain patient confidentiality at all times.

Surgical Coding experience is highly desirable.  Onsite position. 


Coding certification from AAPC required



Required Qualifications

Coding certification from AAPC required

Apply Online:

Posted: September 17, 2018 at 2:03 PM
Post ID: 30446

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