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The Coding Auditor is responsible for conducting prebill and retrospective reviews of selected accounts to include DRG`s, APC`s, diagnoses and procedures on accounts that are finalized by the coding staff. These audits are performed to insure that compliance with current coding guidelines and regulatory standards are being met. The auditor will actively participate in the selection of review issues. Evaluation of coding audits and close monitoring of external forces such as OIG, RAC, and CMS etc. is an important role of this position. The auditor will use their knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. They will employ critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. The auditor will provide written and verbal reports and analysis of their findings to be presented to coding leadership, coding staff as well as other leaders at WellStar.
Required Minimum Education
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