The Physician Documentation/Coding Auditor will ensure coding and billing compliance through ongoing audits and education of physicians, staff, and clinic sites. Under general supervision, using a combination of regulatory, coding, documentation and billing knowledge, the Physician Documentation/Coding Auditor will complete scheduled audits of assigned providers at designated intervals.
The auditor will also monitor and aid in improving the quality of documentation related to the requirements to bill for services provided. The Physician Documentation/Coding Auditor will compare clinical and financial records to ensure that the documentation provided supports the patient charges listed. The audit will flow to claims and the auditor will ensure that the claim for services was billed to the payer correctly. If the PDCA detects errors, the Auditor will present corrected information to Billing Compliance and/or the affected department(s) as instructed, and work collaboratively to maintain accurate and appropriate coding and billing.
This position can be done from a remote location.
CPC, CPC-H or CPMA Certification at time of hire
High School Diploma; Tech/Vocational school or College preferred
3-5 years clinical coding experience (ICD-9, CPT-4, and HCPCS) or combination of applicable experience and education
Proficient in Excel, Word, Data Entry, computerized health care billing software knowledge
Excellent organizational and analytical skills.
Extreme attention to detail with ability to prioritize assignments to meet deadlines.
Our Mission: WHY WE EXIST. To extend the healing ministry of Jesus Christ. Our Core Values: WHAT WE BELIEVE IN.DIGNITY Respect for the worth of every person, recognition and commitment to the value of diverse individuals and perspectives, and special concern for the poor and underserved. INTEGRITY Honesty, justice, and consistency in all relationships. EXCELLENCE High standards of service and performance. COMPASSION Service in a spirit of empathy, love, and concern. STEWARDSHIP Wise and just use of talents and resources in a collaborative manner.Our Vision: WHAT WE ARE STRIVING TO DO. CHRISTUS HEALTH, a Catholic health ministry, will be a leader, a partner and an advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God's healing presence and love. Our Name and Symbol:WHO WE ARE. CHRISTUS is Latin for "Christ," and proclaims publicly the core of our mission. OUR NAME choice also recognizes the heritage of our two congregational sponsors, the Sisters of Charity of the Incarnate Word in Houston and San Antonio. Jesus Christ is the Incarnate Word, the Word of God made flesh. It is, theref...ore, only fitting that it is in another form of His name that our health ministries are called together. OUR SYMBOL Reflects the healing ministry of Jesus Christ - a combination of a medical cross and a religious cross. The flowing banner on the cross is a common symbol of the risen Christ, while the royal purple signifies Christ. The flowing banner also conveys a sense of motion as we move forward into a new era of service to our communities.