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Career Opportunities: Coding Auditor - Payment Integrity (24406) Requisition ID 24406 - Posted 07/10/2024 - CareOregon - Full Time - Permanent - Portland - Multi Location (17) Job Description Print Preview Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Coding Auditor - Payment Integrity Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Payment Integrity Manager Department Operations Pay and Benefits Estimated hiring range $71,340 - $87,200 /year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This is a fully remote role, but you must reside in one of the listed 9 states. Job Summary The Coding Auditor performs code audits and is responsible for chart auditing processes as well as contributing to the education of providers and internal stakeholders on coding topics. The position is responsible for keeping up to date on the newest coding guidelines and best practices while promoting compliance with existing American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. Specific approaches to job duties vary depending on the department. Essential Responsibilities Perform and assist with a variety of coding-related audits for providers and other entities. Assist with RADV and other diagnosis code related audits. (Applies to Finance department roles only.) Review medical records to verify that complete and accurate diagnosis codes are captured in claims and retrospective chart review data. Communicate audit results and recommendations for improvement to providers when needed. Create and maintain processes for tracking audit results and outcomes of reviews. Identify, track, analyze and report on any trends revealed in audits. Develop and maintain centralized policy, process and compliance-related documentation and training resources to support the education of providers and internal stakeholders. Develop or assist with the development of educational materials and process documentation in a variety of mediums (e.g., recorded training sessions, reference documentation, etc.) Actively maintain up-to-date knowledge of coding guidelines and applicable state and federal regulations by frequently referencing current ICD-10-CM and CMS manuals, reviewing professional publications, and attending educational workshops/conferences. Maintain active coding certification. Seek out emerging coding best practices using a variety of strategies (e.g., establishing personal networks, participating in professional associations, etc.) Serve as subject matter expert regarding correct coding practices. Organizational Responsibilities Perform work in alignment with the organization's mission, vision and values. Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals. Strive to meet annual business goals in support of the organization's strategic goals. Adhere to the organization's policies, procedures and other relevant compliance needs. Perform other duties as needed. Experience and/or Education Required Minimum 2 years' experience as certified coder Active coder certification through AHIMA or AAPC Preferred Certified Risk Adjustment Coder (CRC), Certified Documentation Improvement Practitioner (CDIP) or Certified Documentation Expert Inpatient or Outpatient