Certified Coding Auditor

    Posted 16 days ago
    Indianapolis, IN · Hybrid

    Full Time

    Hybrid

    About the job

    Join Community
    Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you.

    Make a Difference
    The Certified Coding Auditor conducts internal coding audits with a primary focus on diagnosis and procedure coding accuracy. This role enhances documentation, specificity, and coding precision to ensure continuity of care and clean claims for appropriate reimbursement. Responsibilities include reviewing coding accuracy, applying coding updates, ensuring adherence to guidelines, and validating documentation for both facility and professional coding. The auditor drafts audit findings to communicate scope, methodologies, results, and trends to Coding Leadership. There may be other duties as assigned.

    Exceptional Skills and Qualifications
    Applicants for this position should be detail-oriented, analytical, and able to communicate effectively in both written and verbal formats. Strong organizational skills and proficiency in Microsoft Office Suite and EMR systems are essential.
    • High School Diploma or GED required
    • Vocational/Technical Degree, Associate, or Bachelor’s Degree preferred
    • Completion of accredited coding program including medical terminology, anatomy, and physiology preferred
    • Certified Procedural Coder (CPC) certification is required
    • AAPC CPMA certification strongly preferred
    • 3+ years of experience in medical coding with knowledge of ICD-10, CPT, and HCPCS systems required
    • 3+ years of auditing experience in lieu of Medical Auditing Certification required