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HIS OP Coding Quality Auditor

Northside Hospital Inc.

Under the supervision of the HIS OP Coding Reimbursement/Coordinator, this role coordinates day-to-day coding activities and monitors coding compliance for outpatient accounts.

The position reviews coding edits in compliance software, works with departments to obtain supporting medical record documentation, supports the physician query process, and helps monitor suspense levels and turnaround times. It also serves as a liaison for internal and external coding reviews, assists with chart location and missing documentation, and prepares monthly compliance, productivity, and quality reports.

The role includes close coordination with Lexicode and support for outpatient unbilled resolution, business office processes, and coding-related reviews for infusion therapy and outpatient surgery/GI procedures.

Requirements & Qualifications

Required

  • Certified Coding Specialist (CCS), or completion of the CCS exam within 6 months of hire, or Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA)
  • 2 years of experience in acute care, CPT, and ICD-9-CM coding
  • 1 year of experience in quality review
  • Proficiency in Microsoft Office, including spreadsheets, databases, and file import/export
  • Previous experience with encoder software

Preferred

  • CCS or RHIA certification
  • 3+ years of quality review experience
  • 3 to 5 years of acute care, CPT, and ICD-9-CM coding experience
  • Previous experience with compliance software
  • Previous imaging system and/or HBOC product experience
Benefits & Perks

Benefits and perks

  • Professional development opportunities, including Clinical Advancement Programs
  • Tuition reimbursement
  • Outstanding work/life balance
  • Competitive benefits, rewards, and bonus programs
  • Customizable benefits packages
  • Comprehensive retirement package in metro Atlanta
  • State-of-the-art facilities and world-class care environment

Location

Atlanta, Georgia, US

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

No

Posted

1 month ago

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