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Urgent! Coding Auditor Job Opening In York – Now Hiring WellSpan Health



Job description

**General Summary**

Performs clinical documentation audits, evaluations and other reviews for the System to ensure and assess compliance with applicable laws and regulations.

Prepares and presents written and oral reports summarizing audit work, issues identified and recommendations to correct issues to management.

Develops and disseminates education and training programs to employees.

**Duties and Responsibilities**

**Essential Functions:**

+ Performs proactive or reactive coding compliance reviews as needed to identify or quantify potential issues.
+ Investigates and recommends action to be taken when compliance issues are found.

Monitors implementation of recommended corrective action and performs follow up reviews where necessary.
+ Assists with coding compliance implementation throughout the WellSpan.
+ Assists in the development and dissemination of education and training processes for the employees regarding coding compliance related activities.
+ Assists with any investigations in accordance with the investigation protocol established by the organization.
+ Assists in responding to questions, issues, concerns and reports of possible coding or billing misconduct reported or identified through the coding hotline, Help Desk calls, or other reporting lines.
+ Supports the organization's commitment to comply with all federal, state, and local standards, with an emphasis on prevention of fraud and abuse.
+ Promotes and adheres to the Code of Conduct and the elements of the Compliance Program and exercises due diligence to ensure compliance with policies and legal requirements.
+ Prepares written reports pertaining to determinations and recommendations resulting from routine audits and/or assigned special projects.

Presents report to appropriate managers and boards.
+ Provides guidance to Enterprise Applications for documentation, coding and billing, including the creation of system billing edits.

**Common Expectations:**

+ Maintains established policies and procedures, objectives, quality assessment and safety standards.
+ Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
+ Maintains appropriate records, reports, and files as required.
+ Participates in administrative staff meetings and attends other meetings as assigned.
+ Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

**Qualifications**

**Minimum Education:**

+ Associates Degree Required

**Work Experience:**

+ 3 years Coding/Auditing experience.

Required

**Licenses:**

+ Certified Professional Coder Upon Hire Preferred or
+ Certified Coding Specialist Upon Hire Preferred or
+ Certified Coding Specialist - Physician Based Upon Hire Preferred

**Knowledge, Skills, and Abilities:**

+ Extensive knowledge of ICD-9/ICD-10 and CPT coding principles and guidelines.
+ Excellent written/oral communication and computer skills.
+ Works effectively in a team environment.

**Quality of Life**

Founded in 1741, the city of York is considered by many as the first capital of the United States.

The Articles of Confederation were signed by the Second Continental Congress here in 1777.

Its beautifully restored historic district is an architectural treasure.

While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.

Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more - within an easy drive of major East Coast cities.

York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors.

(Patient population: 445,000)
WellSpan Health is an Equal Opportunity Employer.

It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.



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    Unlock Your Coding Auditor Potential: Insight & Career Growth Guide


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