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Clinical Coding Auditor
Sentara Healthcare

Location: Virginia Beach, Virginia
Work Setting: Hospital
Job Function:
Auditor
Job Type:
Full-Time

Introduction

Sentara employees strive to make our communities healthier places to live. We’re setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

To search and apply for job opportunities, visit our careers website at SentaraCareers.com.

Job Description

Clinical Coding Auditor (HIM)
Job Summary :
Performs a number of functions including those of physician education, internal auditing, coder education, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara’s patients, and also assures that the coding practices fall within established compliance guidelines. Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in either APCs or DRGs, and is expected to achieve mastery of at least one payment methodology within one year. Follows audit plan, completing numerous audits and providing follow-up to coders, management, and physicians. Looks for new problem areas, trends, etc., and advises Director of Clinical Coding of same.
Required Education :
High School Grad or Equivalent
Experience :
Required: Coding – 4 years

Preferred: None, unless noted in the “Other” section below

Licenses and Certifications :
Required: Cert Coding Specialist, Cert Professional Coder

Preferred: Reg Health Information Admin, Reg Health Information Tech

Skills :
Required: Communication, Complex Problem Solving, Critical Thinking

Preferred: None, unless noted in the “Other” section below

Other :
Minimum 4 years experience coding complex inpatient cases or outpatient cases in an acute care setting. Associates degree preferred. Certified Coding Specialist (CCS) is required for inpatient auditor. Certified Professional Coder (CPC, COC) or CCS is required for outpatient auditors.

Required Qualifications

Required Education :
High School Grad or Equivalent
Experience :
Required: Coding – 4 years

Preferred: None, unless noted in the “Other” section below

Licenses and Certifications :
Required: Cert Coding Specialist, Cert Professional Coder

Preferred: Reg Health Information Admin, Reg Health Information Tech

Skills :
Required: Communication, Complex Problem Solving, Critical Thinking

Preferred: None, unless noted in the “Other” section below

Other :
Minimum 4 years experience coding complex inpatient cases or outpatient cases in an acute care setting. Associates degree preferred. Certified Coding Specialist (CCS) is required for inpatient auditor. Certified Professional Coder (CPC, COC) or CCS is required for outpatient auditors.

Education Qualifications

High School Graduate or Equivalent Experience

Compensation/Benefits

Competitive and commensurate with experience.

Instructions for Resume Submission

Please email resume to Lisa Senkowski at lasenkow@sentara.com

Apply Online: http://www.sentaracareers.com

Posted: November 14, 2019 at 4:46 PM
Post ID: 44987

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