Coding Auditor - Partner

At SCP Health, what you do matters

As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.

Why you will love working here:

- Strong track record of providing excellent work/life balance.

- Comprehensive benefits package and competitive compensation.

- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.

Primary Duties and Responsibilities:

• Perform multi-specialty quality reviews as deemed necessary by leadership to include audits and edits as quality issues/concerns are identified (facility, coder, procedure, other operational statistic, provider, query, etc.).
• Perform regular multi-specialty auditing on EM/UC/Observation and HM based on criteria specified by leadership.
• Assist global partner team in all areas as needed including but not limited to questions, edits, facility issues, quality concerns, system/CAC issues, providers, etc.
• Communicate with other departments within RCS and SCP for pending items that require their assistance.
• Provide guidance, education, and feedback to partner as it relates to auditing, coding, and policies/procedures for all service lines.
• Maintain a working relationship and communicate any coding and training issues to the Coding Senior Partner Auditor and/or Supervisor/Manager of Coding and Quality Services.  Be a point of contact for majority of daily communication between SCP health and their team, ensure they receive all necessary information and address all questions/issues.
• Document training/education communication provided to the global coding partners.
• Comply with HIPAA requirements in relation to all chart activities.
• Comply with current ProCode policies and procedures.
• Attend appropriate professional and educational meetings.

Knowledge, Skills, and Abilities:

• Comply with current ProCode policies and procedures.
• Maintain accuracy and coding production goals as required by ProCode.
• Basic knowledge of Outlook, Windows, Microsoft Word, and PowerPoint. Proficient in Microsoft Excel.
• Ability to learn additional reporting avenues and systems.
• Experience in professional coding as well as governmental/commercial coding guidelines.
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EDUCATION (Required and/or Preferred):
• Bachelor’s Degree - Required

FIELD OF STUDY (Preferred):
• Health Information Management (preferred)

SUPERVISION EXERCISED:
• NONE

Pay Range:

This range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.

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We offer a comprehensive benefits package designed to support your health, financial well-being, and work-life balance, including medical dental, vision insurance, a 401(k) plan with a company match, paid time off and holidays, professional development support, and employee wellness resources.

Visit our website for further information. https://myscpbenefits.com/

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