The Coding Auditor-Educator reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. Issues Coding “report card” quarterly to all coders. This position provides coding training and education. He/She audits accounts for ER Charging accuracy, if applicable. The position performs RAC and other third party audit appeals, if applicable. He/She must be able to use tact and diplomacy when communicating with employees, physicians, administration, and public, under complex or emotional situations.
The person in this position works under general supervision, is responsible for various shifts, may be subject to over 40 hours per week and/or callback as required, and may also be required to remain on campus immediately before, during, and after severe weather and/or disasters.