Professional Coding Auditor
Emory Healthcare/Emory University
Atlanta, GA
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JOB DETAILS
SALARY
LOCATION
Atlanta, GA
POSTED
30+ days ago
Overview
Be inspired. Be valued. Belong
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At Emory Healthcare
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoingmentorshipand leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & Reimbursement Programs + Family-focused benefits + Wellness incentives + Ongoing mentorship, development, leadership programs + And more Individuals with Orthopedic and Neuro surgery experience are encouraged to apply!!!
Description
This position ensures the accuracy, completeness, and compliance of medical coding and clinical documentation for professional coding services. The role supports accurate coding practices, appropriate reimbursement, and regulatory compliance by reviewing patient records and collaborating with healthcare providers, coding teams, and compliance staff.
RESPONSIBILITIES
• Ensures the accuracy, completeness, and compliance of medical coding and documentation for professional coding services. • Reviews patient records, clinical documentation, and coded data to identify discrepancies and coding issues. • Works closely with healthcare providers, coders, and compliance teams to support accurate professional coding practices. • Supports appropriate reimbursement and mitigates compliance risks through detailed coding reviews. • Conducts comprehensive chart reviews to evaluate coding accuracy and documentation quality. • Evaluates provider documentation to ensure appropriate coding and regulatory compliance. • Participates in routine audits to maintain high standards of coding accuracy and compliance. • Provides education and training to healthcare professionals regarding coding standards and documentation improvement. • Analyzes coding data to identify trends, opportunities for improvement, and compliance risks. • Generates audit reports summarizing findings and recommendations.
AUDIT AND REVIEW
• Conducts regular audits of medical coding to verify accuracy, completeness, and compliance with ICD-10, CPT, HCPCS, and other coding systems. • Evaluates coding practices against payer guidelines, regulatory requirements, and internal organizational policies.
COMPLIANCE MONITORING
• Ensures adherence to federal and state regulations including CMS guidelines and HIPAA standards. • Identifies discrepancies or violations and recommends corrective actions.
REPORTING AND DOCUMENTATION
• Prepares detailed audit reports outlining findings, trends, and recommendations for improvement. • Documents audit procedures, results, and issues in a clear and organized manner.
STAY CURRENT
• Maintains up-to-date knowledge of coding guidelines, healthcare regulations, and industry best practices. • Participates in relevant workshops, seminars, and continuing education programs as required.
MINIMUM QUALIFICATIONS
• High school diploma or equivalent required. • Two years of post-secondary education in a business or medical-related field preferred. • Two years of experience in a medical billing or coding office required; medical management experience preferred. • Equivalent combinations of education and experience may be considered. • Coding certification through a nationally recognized organization such as AAPC or AHIMA required (CCS-P, CPC, RHIA, RHIT, CCS, CPC-H). • Minimum of two years of experience working in a medical billing, coding, or healthcare revenue cycle environment preferred. • Experience with medical coding, auditing, or chart review in a healthcare setting preferred. • Familiarity with electronic health record (EHR) systems preferred.
KNOWLEDGE, SKILLS, AND ABILITIES
• Strong knowledge of medical terminology, anatomy, and coding systems. • Strong written and verbal communication skills. • Thorough understanding of healthcare regulations and compliance standards. • Excellent attention to detail and accuracy in documentation review. • Ability to analyze coding data and identify discrepancies or improvement opportunities.
Additional Details
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org . Please note that one week's advance notice is preferred.
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Division
_Emory Healthcare Inc._
Campus Location
_Atlanta, GA, 30345_
Campus Location
_US-GA-Atlanta_
Department
_EHI Prof Billing Coding_
Job Type
_Regular Full-Time_
Job Number
_161234_
Job Category
_Revenue Cycle & Managed Care_
Schedule
_8a-4:30p_
Standard Hours
_40 Hours_
Hourly Minimum
_USD $35.66/Hr._
Hourly Midpoint
_USD $43.45/Hr._ Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.
About the Company
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