Lead Auditor at Walter Reed Medical Center, Bethesda, MD (On-Site)

Lead Auditor at Walter Reed Medical Center, Bethesda, MD (On-Site)


IMS is seeking a Lead Auditor who will report to the Site Manager and all performance of required duties are monitored by the Program Manager (PgM). The Lead Auditor will hold a current coding credential from either the American Health Information Management Association (AHIMA) (i.e., Certified Coding Specialist (CCS), Certified Coding Specialist – Physician Based (CCS-P), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), etc.) or the American Academy of Professional Coders (AAPC) (i.e., Certified Professional Coder CPC).

Lead Auditor:

Responsibilities for this position include:

Performs coding compliance audits on E&M visits/encounters in all settings/sites (professional and technical), and/or CPT coded services performed by clinical institutes and/or physicians, using criteria based on official CPT and ICD-9 guidelines and other applicable regulations.

Performs inpatient coding audits using ICD-9-CM, ICD-10-CM/PCS, DRG validation (3Mcoding software) utilizing appropriate coding references for CHS hospitals via scanned, electronic and hybrid medical records.

Performs centralized outpatient coding audits of scanned or copied medical records and abstracts using ICD-9-CM and CPT (3M coding software) and appropriate coding references, for CHS hospitals and CCS coding staff.

Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10 coding.

Develop and conduct ongoing coding training to include but not limited to ICD-9, ICD-10-CM and Medicare Risk Adjustment coding to new associates, training for existing staff as needed.

Attend the Compliance Committee meetings.

Provide other services as needed to assist in effective operations of the compliance program.

Work with CHKS clients both in the NHS and private sector by undertaking regular complex audits of clinically coded data to assess coding quality for accuracy, completeness, consistency and timeliness.

To support clients in the development of audit programs to ensure ongoing improvements in their quality assurance for both the organization and their commissioners.

Have a pro-active and positive approach when working with clients to identify areas where further work may be required, for example training or more specialized audit.

Coding Auditor Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Coding Auditor

List any licenses or certifications required by the position: RHIT, RHIA, CCS, AHIMA, CPC, AAPC, COC, CIRCC, CIC, CRC

Education for Coding Auditor

Education:  Associates degree in Health Information, Business Management, Technical, Health, Auditing, Healthcare, Management, Health Information Technology, Medical Coding.

IMS is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, gender identity, national origin, disability, pregnancy, status as a protected veteran, or any other protected characteristic as outlined by federal, state, or local laws. If you are an individual with a disability and would like to request a reasonable accommodation for the employment process, please email your request to hr@im-strat.com.

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