University of Utah Health is an integrated academic healthcare system with five hospitals including a level 1 trauma center, eleven community health centers, over 1,600 providers, and a health plan serving over 200,000 members. University of Utah Health is nationally ranked and recognized for our academic research, quality standards and overall patient experience. In addition to our clinical delivery system, we have a School of Medicine, School of Dentistry, College of Nursing, College of Pharmacy, and College of Health providing education and training for over 1,250 providers annually. We have over 2 million patient visits annually and research grants exceeding $350 million. University of Utah Hospitals and Clinics represents our clinical operations for the larger health system. As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA
Coding Auditor
Location
United States
Posted
33 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Coding Auditor
University of Utah Health
Role Description The position audits and reports on the accuracy of procedural billing, payment consideration and accuracy in reimbursement based on the correct interpretation and application of codes, modifiers and payment rules. This position is not responsible for providing patient care. - Performs audits and reports on the accuracy of procedure coding, facility E&M coding, ICD-9 coding and billing. - Reviews insurance payments for reimbursement accuracy, which is based on correct interpretation of clinical data and application of codes, modifiers and payment rules. - Reviews and audits institutional coding and billing from multiple departments and entities across the organization. - Assists in training personnel in correct documentation processes and coding guidelines. - Oversees ongoing projects that are within the scope of this position. Qualifications - RHIA certification and two years of coding experience in multiple specialties, OR... - RHIT or CPC certification and four years coding experience in multiple specialties, OR... - Bachelor's degree in a health sciences related area, and four years of coding experience in multiple specialties. Requirements - Extensive knowledge of coding rules as outlined by CMS, AHA AMA. - Ability to identify areas or items which are not in compliance with the rules, present findings to various groups (e.g. physicians, nurses, administrators/directors, coders, billing representatives) and recommend appropriate changes to policies and procedures. - Ability to meet the American Academy of Procedural Coders and/or AHIMA's continuing education requirements. Benefits - This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. - This position involves sitting most of the time and is not exposed to adverse environmental conditions. Working Conditions and Physical Demands - Employee must be able to meet the following requirements with or without an accommodation. - Physical Requirements: Color Determination, Listening, Manual Dexterity, Near Vision, Reaching, Sitting, Speaking, Standing, Walking.
Related Guides
Related Categories
Related Job Pages
More Auditor Jobs
• Conduct detailed diagnostic chart reviews of clinical documentation and coding associated with Risk Adjustment and HCC coding. • Review and abstract HCC codes to ensure they are coded accurately, to the highest specificity. • Query providers to clinically validate or clarify diagnosis criteria. • Review for compliant documentation resulting in compliant reporting/billing and RVU capture.
Role Description El/la Auditor/a Junior en Minería es un rol de entrada que apoya a auditores senior y líderes de auditoría en la revisión y evaluación de procesos financieros, operativos, de cumplimiento, seguridad, medio ambiente y calidad dentro de operaciones mineras. Su objetivo principal es verificar el cumplimiento normativo, identificar riesgos y oportunidades de mejora, y asegurar la correcta aplicación de controles internos en faena y oficinas corporativas. Responsabilidades Principales: - Apoyar en la planificación y ejecución de auditorías internas o externas (financieras, operativas, HSEQ, calidad, compliance). - Revisar documentación: procedimientos, registros operacionales, estados financieros básicos, reportes HSEC y contratos. - Verificar el cumplimiento de normativas mineras, legales, ambientales y de seguridad (DS, ISO, políticas internas). - Ejecutar pruebas de control y muestreo bajo supervisión de auditores senior. Qualifications - Carrera universitaria completa o técnica en: Contabilidad, Auditoría, Ingeniería Comercial, Administración, Ingeniería Industrial, Minas o afín (valorado en minería), Finanzas o Economía. - Experiencia no mayor a 2 años en Prácticas profesionales en minería, auditoría, control de gestión o HSEQ o Experiencia en terreno o entornos industriales regulados. Requirements - Principios básicos de auditoría interna y externa. - Control interno y gestión de riesgos. - Normativa ISO (9001, 14001, 45001) – deseable. - Legislación minera, seguridad y medio ambiente (deseable). - Manejo de Excel intermedio y herramientas Office. Benefits - Desarrollo de carrera. - Bonos y aguinaldos. - Seguro complementario de salud (100% pagado por la empresa y sin deducible). - +50 mil capacitaciones y cursos disponibles (online y presencial). - Bibliotecas, libros y podcasts. - Programa de idiomas. - Certificaciones gratuitas mediante nuestros partners. - GenAI Academy, con programas exclusivos para Accenture. - Reconocidos por Great Place To Work Chile 2025 en el puesto #8 entre las mejores compañías para trabajar de más de 1.000 colaboradores. - Reconocidos por WIM Chile como Empresa Líder en Participación Femenina en Minería 2025. - Licencias de Paternidad & Maternidad Extendida. - Red global de conocimiento. - Elegida la compañía más diversa e inclusiva del mundo, según el Índice de Diversidad e Inclusión de Refinitiv. - Sostenibilidad, un motor de cambio, conoce nuestro compromiso.
• Provides systematic and strategic approaches related to the effectiveness of risk management control and governance processes • Examines and evaluates organization processes, reporting findings back to management regarding possible improvements and corrections • Develop internal audit scope and audit plans • Audits the organization's internal operations as directed by leadership • Prepare and present reports that reflect audit results and document processes • Performs specialized assignments; solves complex problems and develops non-traditional solutions through sophisticated analytical thinking • Interprets internal/external business environment • Recommends best practices to improve processes or services • Impacts achievements of customer, operational, project or service objectives • Communicates difficult concepts to team to generate clarity and alignment on projects, initiatives, and various work products • May lead functional projects with moderate risks and resource requirements • Individual contributor working independently; may require guidance in highly complex situations • Performs all other duties as assigned by management
Inpatient Hospital Coding Auditor
Baptist Health System, Inc.Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital.
Role Description Baptist Medical Center Jacksonville is currently hiring for a Full-time Inpatient Hospital Coding Auditor to join our Appeals & Denials Department at Baptist Metro Square. This candidate will perform retrospective and concurrent Quality Assurance audits of Inpatient encounters for accuracy and compliance, appropriate MS-DRG and APR-DRG with adherence to the Official Coding Guidelines for Coding and Reporting utilizing ICD-10 CM and PCS classification. Identify areas of educational opportunities, tracking audits received for purposes of trending and providing feedback to Coding Leadership. Auditing will include scope of both government and commercial payors including but not limited to RAC, ACHA. - Performing inpatient coding audits (DRG) related to payer audits. - Auditing prior billed codes to ensure clinically validated. - Accurate coding based on established guidelines. - Performing coding updates in both legacy and EPIC environments as applicable. - Identifying audit trends and providing insights and education to Clinical Denials Audit and Analysis and Clinical Documentation Integrity leadership. - Auditing will include scope of both government and commercial payors including but not limited to RAC, AHCA, and commercial DRG Audits. Qualifications - Associate of Science Required - Bachelor of Science (non Nursing) Preferred - Certified Coding Specialist (CCS) - AHIMA - Registered Health Information Technician - AHIMA - Registered Health Information Administrator - AHIMA Requirements - 3-5 Years Auditing Experience - 3-5 Years Coding Experience - 3-5 Years Knowledge of State and Federal Requirements - Candidate must reside in the following approved states: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia, Wyoming. Company Description Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital. For more than 25 years, health care consumers have named Baptist Health the "most preferred healthcare provider" in the region. At Baptist Health, we are proud to be local, providing multigenerational care to our community. We are the hospital Jacksonville trusts the most. Our employees can take pride in their Baptist Badge, knowing the impact they make on their friends, family, and neighbors. Baptist was recently recognized by Forbes magazine as one of America’s top employers for diversity.
