HIM Coding Auditor

Cost Center

165 Health Information Management

Scheduled Weekly Hours

40

Work Shift

First Shift (United States of America)

Shift & Status

Who Are We?

We at Pine Rest believe in the power of healing and that everyone in our community has the right to expert care for mental health and substance use disorders. We are much more than just the third largest non-profit behavioral health system in the country, our 220-acre main campus, and our network of clinical sites across Michigan. We are a tight-knit community of healers who witness the impact of our life-changing work each day.

Each day, we are closing the gaps in access to care. We are innovating through leading-edge research, testing, programs, and treatment modalities that others replicate across the country. Our services include a state-of-the-art psychiatric urgent care center and a soon-to-be-built pediatric behavioral health center, outpatient, inpatient, partial hospitalization (day programs), assessment and testing, residential, addiction treatment and specialty services such as crisis response, employee assistance programs, forensic psychiatry and psychology, and neuromodulation. On-the-job educational programs for nurses, psychologists, advanced practice providers, psychiatrists, and chaplains are equipping the next generation of care providers.

We are passionate about serving and are honored to be a part of this incredible work.

Position Summary:

The Coding Auditor, under the direct supervision of the Manager of Coding, is responsible for overseeing the daily operations of the coding team. The Coding Auditor will assist the Manager of Coding to lead a team of coders. They also will help ensure the accuracy, completeness and compliance of coding and documentation throughout the organization. The Coding Auditor will perform audits as well as provide guidance, training, and education to ensure high standards of coding compliance. The Coding Auditor must demonstrate excellent customer service and have enthusiasm about the program and the Pine Rest organization.

Principal Duties and Responsibilities:

• Conducts regular audits of coding and documentation processes to identify areas for improvement.
• Conduct thorough audits of coding practices to ensure compliance with established guidelines and regulations (e.g., ICD-10, CPT, HCPCS).
• Review medical records and coding entries to verify accuracy and completeness.
• Identify and report discrepancies, errors, and areas for improvement.
• Provide detailed feedback and recommendations to coding staff based on audit findings.
• Serves as first point of contact for staff and providers for coding related questions.
• Develop and implement training programs to enhance coding team skills and knowledge.
• Stay updated with changes in coding regulations and best practices.
• Collaborate with coding, billing, and compliance teams to develop and implement corrective action plans.
• Prepare detailed audit reports and present findings to management.
• Participate in training and educational activities to enhance coding knowledge and skills within the team.
• Assist in the development and updating of coding policies and procedures.
• Monitor industry trends and regulatory changes to ensure compliance and best practices.
• Ensure timely completion of all coding tasks and projects.
• Encourages employee empowerment and independent thinking.
• As required, actively participated in performance improvement projects.
• Manages work queues, as assigned.
• Adapts to changes in the workload.
• Accurately codes records.
• Demonstrates the ability to read, write and comprehend the contents of a medical record sufficiently to code.
• Demonstrates a complete understanding of all coding procedures regarding the sequencing of diagnoses and procedures.
• Must be able to work and communicate effectively with HIM employees and other departments, as needed. 
• Appropriately interact with the hospital administrators, directors, and department leads. 
• Will be required to work in a highly confidential area without disclosure of confidential information.
• Attends all required staff meetings and HRS required training.
• Complies in all material respects with the Corporate Compliance Policy and all federal, State and local laws and regulations applicable to position. 
• Notifies manager or the ERM Integrity & Privacy Officer if any violations are suspected.
• Responsible to role model the mission and values of the organization, presenting a professional image that is projected in appearance, attitudes and behaviors, time management and communication skills.  Provides spiritual, emotional, social, mental and physical support to patients.
• Responsible to uphold the healing ministry of Christ through relationships that honor integrity, stewardship, empowerment, the promotion of diversity, equity, inclusion, and professional excellence.
• Must maintain annual training and demonstrate competency in the required programmatic training.
• Performs other duties or functions as assigned.

Supervisory Responsibilities:

•  None

Required/Desired Qualifications:

Education, Training, and Experience:

• Associates of Health Information Technology required. Bachelor of Health Information Management preferred.
• RHIA, RHIT, or CCS credential required (or completion within 6 months of hire).
• 3-5 years coding experience required.
• Additional training may be required through formal education or through seminars.

Specific skills, knowledge, and abilities:

• Ability to provide care/service within the scope of: Holding a conviction to express Christ’s love and compassion to recipients of services, coworkers, and surrounding communities through integrity, stewardship, empowerment, the promotion of diversity, equity, inclusion, and professional excellence.
• Ability to provide culturally inclusive care with a wide range of individuals in a diverse community setting.
• Must have basic computer operating skills
• Must have strong typing skills
• Ability to learn hospital computer systems and software products
• Strong attention to detail
• High level of organizational skills and ability to multitask