Coding and Billing Auditor

Overview

Join to apply for the Coding and Billing Auditor role at Bayhealth

Base pay range: $26.99/hr - $40.49/hr

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?

Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!

Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:

• Generous Paid Time Off and Paid Holidays
• Matching 401(k)/403(b) Plans
• Excellent Health, Dental, and Vision
• Disability and Life Insurance options
• On Site Child Care
• Educational Reimbursement
• Health Care and Dependent Care Flex Spending Accounts
• Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: 655 Bay Rd, Suite J

Status: Full Time 80 Hours

Shift: Days

SALARY RANGE: 26.99 - 40.49 HOURLY

Performs data quality reviews on provider records to validate the ICD-10 codes, CPT codes and clinical documentation. Audits provider (physician and midlevel providers) records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting and documentation requirements. Educates providers, coders and charge entry personnel on coding guidelines and documentation requirements. Provides coding support to BHMG coding and billing staff.

• Audits medical records for accurate CPT coding assignment. Compiles reports with an analysis of findings from the medical record audits. Ensures the selected CPT code supports the clinical documentation contained in patient record. Consistently meets established productivity targets for record audits.
• Audits all establish provider medical records on by annual basis
• Audits medical records for accurate CPT coding assignment.
• Maintains audit lodge for BHMG
• Compiles reports with an analysis of findings from the medical record audits.
• Ensures the selected CPT code supports the clinical documentation contained in patient record.
• Consistently meets established productivity targets for record audits.
• Medical Staff Relationship:
  Communicates (verbal/written) with providers to validate observations and suggest additional and/or more specific documentation
• Designs and implements, in collaboration with the Revenue Cycle Manager specific tools to support medical record physician documentation.
• Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.
• Communicates to participants the benefits of complete clinical documentation.
• Trains new employees on the BHMG revenue cycle team on coding and documentation guidelines
• Assistant Revenue Cycle manager with evaluation of coding activities and the performance evaluation of the revenue cycle personnel as needed
• Performs coding procedures as needed and warranted
• Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.
• All other duties as assigned within the scope and range of job responsibilities

• Education:
  
  Associate Degree
• Related field
• Credential(s):
  Certified Professional Coder
• Experience:
  
  Required:
  
  5 years in Inpatient /Outpatient coding and auditing experience;
  Preferred:
  Coding in multi-specialty group practice setting

• Education:
  
  Bachelor Degree Related field
• Credential(s):
• Experience:

To view a full list of all open position at Bayhealth, please visit:

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• Not Applicable

• Full-time

• Administrative

• Hospitals and Health Care

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