Are you a detail-oriented individual with a strong background in coding and auditing? Are you passionate about ensuring accuracy and compliance in the healthcare industry? Highmark Health is seeking a highly skilled Coding Auditor to join our team. As a Coding Auditor, you will play a crucial role in ensuring that our coding practices are in line with industry standards and regulations. Your expertise and attention to detail will be essential in helping us maintain the highest level of quality and accuracy in our coding processes. If you have a strong understanding of coding guidelines and regulations, excellent analytical skills, and a commitment to accuracy, we encourage you to apply for this exciting opportunity.
- Conduct audits of medical coding and documentation to ensure compliance with industry standards and regulations.
- Identify and report any discrepancies or errors in coding practices.
- Develop and implement corrective action plans to address any issues identified during audits.
- Stay up-to-date on coding guidelines and regulations to ensure accuracy and compliance.
- Collaborate with coding and billing teams to provide education and training on coding best practices and regulatory changes.
- Analyze coding data and trends to identify areas for improvement and make recommendations to management.
- Communicate audit findings and recommendations to relevant stakeholders in a clear and concise manner.
- Maintain accurate and organized records of audit findings and corrective actions taken.
- Participate in coding and compliance meetings to provide expertise and guidance.
- Serve as a subject matter expert on coding guidelines and regulations for the organization.
Extensive Knowledge Of Coding Practices: A Successful Coding Auditor At Highmark Health Should Have A Deep Understanding Of Various Coding Systems, Such As Icd-10, Cpt, And Hcpcs. They Should Also Be Familiar With Coding Guidelines And Regulations Set By Cms And Other Governing Bodies.
Certified Professional Coder (Cpc) Certification: Highmark Health Requires Its Coding Auditors To Have A Cpc Certification From Aapc Or An Equivalent Certification From Ahima. This Demonstrates A Thorough Understanding Of Coding Principles And Practices.
Strong Analytical And Critical Thinking Skills: A Coding Auditor Must Possess Strong Analytical Skills To Review And Analyze Complex Medical Records And Coding Data. They Should Also Be Able To Think Critically To Identify Errors And Discrepancies In Coding.
Excellent Communication And Interpersonal Skills: The Role Of A Coding Auditor At Highmark Health Involves Working With A Variety Of Stakeholders, Including Physicians, Coders, And Billing Specialists. Therefore, Strong Communication And Interpersonal Skills Are Essential To Effectively Communicate Audit Findings And Address Any Concerns.
Experience In Auditing And Compliance: Highmark Health Prefers Candidates With Prior Experience In Coding Audits And Compliance. An Ideal Candidate Should Have A Minimum Of 3-5 Years Of Experience In A Similar Role, Preferably In The Healthcare Industry. This Ensures A Thorough Understanding Of Auditing Processes And Compliance Regulations.
Quality Assurance
Communication
Time Management
Attention to detail
Analytical Thinking
Compliance Knowledge
Medical Terminology
Teamwork
Auditing skills
Problem-Solving
Coding Proficiency
Communication
Emotional Intelligence
Leadership
Time management
creativity
Organization
Teamwork
Adaptability
Problem-Solving
Decision-making
According to JobzMall, the average salary range for a Coding Auditor in Pittsburgh, PA, USA is between $57,000 and $82,000 per year. However, this can vary depending on factors such as the employer, experience level, and specific job responsibilities. Some employers may also offer additional benefits and bonuses.
Apply with Video Cover Letter Add a warm greeting to your application and stand out!
Highmark Inc. is among the largest health insurers in the United States and the fourth-largest Blue Cross and Blue Shield-affiliated company. Highmark and its diversified businesses and affiliates operate health insurance plans in Pennsylvania, Delaware and West Virginia that serve 5.2 million members. Its diversified health businesses serve group customer and individual health needs across the United States through dental insurance, vision care and other related health businesses. Highmark is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.
Get interviewed today!
JobzMall is the world‘ s largest video talent marketplace.It‘s ultrafast, fun, and human.
Get Started