Coding Auditor, Health Information Management, Full Time, Day
Valley Health System
Summary
The Coding Auditor is responsible for performing comprehensive coding audits to ensure accuracy, compliance, and consistency across all professional services at VMG. This role supports service-line transitions, vendor oversight, and quality validation.
Job description
Position Summary
The Coding Auditor is responsible for performing comprehensive coding audits to ensure accuracy, compliance, and consistency across all professional services at VMG. This role supports service-line transitions, vendor oversight, and quality validation.
Each Coding Auditor will be aligned to a Coding Educator to ensure coordinated education and quality improvement efforts.
Education
High school diploma or equivalent required.
Experience
- Minimum of 5 years of professional coding experience
- Certified Professional Coder (CPC) – AAPC required or equivalent
- Multi-specialty experience in professional coding
- Strong presentation and communication skills
- CPC-H (Hospital Outpatient) preferred
- CPMA (Certified Professional Medical Auditor) preferred
Skills
- Advanced knowledge of coding guidelines.
- Strong understanding of professional fee coding, reimbursement methodologies, and revenue cycle operations.
- Demonstrated expertise in conducting audits and evaluating physician documentation for coding accuracy, completeness, and compliance.
- Strong analytical and critical thinking skills
- Experience monitoring coding quality metrics, audit outcomes, and performance indicators, and communicating findings, recommendations, and financial impact to providers, leadership, and operational stakeholders.
- Ability to develop corrective action plans and collaborate with coding educators, operational leaders, and providers to drive coding quality and documentation improvement initiatives.
- Experience evaluating outsourced coding vendor performance, monitoring service level agreements (SLAs), and ensuring adherence to quality and compliance standards.
- Strong organizational, project management, and prioritization skills with the ability to manage multiple audits, projects, and deadlines simultaneously.
- Excellent written, verbal, and interpersonal communication skills with the ability to effectively collaborate across departments and present complex information to diverse audiences.
- Ability to exercise sound judgment, maintain confidentiality, and handle sensitive compliance-related matters with professionalism.
Requirements
- High school diploma or equivalent required
- Minimum of 5 years of professional coding experience
- Certified Professional Coder (CPC) – AAPC required or equivalent
- Multi-specialty experience in professional coding
- Strong presentation and communication skills
- CPC-H (Hospital Outpatient) preferred
- CPMA (Certified Professional Medical Auditor) preferred
- Advanced knowledge of coding guidelines
- Strong understanding of professional fee coding, reimbursement methodologies, and revenue cycle operations
- Demonstrated expertise in conducting audits and evaluating physician documentation for coding accuracy, completeness, and compliance
- Strong analytical and critical thinking skills
- Experience monitoring coding quality metrics, audit outcomes, and performance indicators
- Ability to develop corrective action plans and collaborate with coding educators, operational leaders, and providers
- Experience evaluating outsourced coding vendor performance, monitoring service level agreements (SLAs), and ensuring adherence to quality and compliance standards
- Strong organizational, project management, and prioritization skills
- Excellent written, verbal, and interpersonal communication skills
- Ability to exercise sound judgment, maintain confidentiality, and handle sensitive compliance-related matters with professionalism
Benefits
- Medical, Dental & Vision
- Group Term Life Insurance
- AD&D Insurance
- Flexible Spending Accounts
- Commuter Benefit Plans
- Short-term Disability
- Long-term Disability
- Whole Life Insurance
- Legal Support
- 6 Paid Holidays
- Paid Time Off
- Wellness Time Off
- Extended Illness
- Retirement Plan
- Tuition Assistance
- Employee Assistance Program
- Fitness Center Discount
- Day Care Discounts
Company overview
The Valley Health System is an integrated healthcare network serving Las Vegas and Southern Nevada, operating as a subsidiary of Universal Health Services, Inc. (UHS). Established in 1979, the system has grown to become the largest provider of healthcare services in Southern Nevada, serving over two million residents across the region. The network comprises six acute care hospitals, two specialty hospitals, seven freestanding emergency departments, and numerous outpatient facilities and physician practices. Key hospitals include Centennial Hills Hospital Medical Center, Henderson Hospital, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center, Valley Hospital Medical Center, and West Henderson Hospital. The system offers comprehensive medical services including emergency care, cardiovascular services, neurosciences, maternity and women's health, orthopedics, oncology, behavioral health, and specialized programs in stroke and heart attack care. All Valley Health System hospitals are accredited by The Joint Commission and consistently earn national recognition for quality care, with certifications from the American Heart Association and American Stroke Association. The organization employs over 9,000 healthcare professionals dedicated to providing patient-centered care while also serving as a teaching institution with graduate medical education programs and clinical training opportunities for future healthcare providers.