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Prof Coding & Doc Auditor - Prof Coding Svcs_QHS (Full-Time, 40 Hours, Day Shift)

  2025-10-26     Queen's Health System     Honolulu,HI  
Description:

RESPONSIBILITIES

I. JOB SUMMARY/RESPONSIBILITIES:

- Responsible for conducting internal audits of coding and documentation to ensure compliance with coding guidelines and federal and state regulations.

II. TYPICAL PHYSICAL DEMANDS:

- Essential: sitting, stooping/bending, finger dexterity, seeing, hearing, speaking, lifting, and carrying usual weight of 5 pounds, repetitive arm/hand motions, static gripping of an object for prolonged periods, frequent gripping of an object.

- Occasional: standing, walking, kneeling, climbing stairs, squatting, twisting body, lifting weight up to 10 pounds, pushing/pulling usual weight of 2 pounds up to 5 pounds of force, reaching above, at and below shoulder level.

- Operates computer, calculator, and telephone.

III. TYPICAL WORKING CONDITIONS:

- Not substantially subjected to adverse environmental conditions.

IV. MINIMUM QUALIFICATIONS:

A. EDUCATION/CERTIFICATION AND LICENSURE:

- Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P) required.

- Certification as Medical Auditor (CPMA) preferred.

B. EXPERIENCE:

- Minimum two (2) years experience in physician coding, preferably in a comparable organization.

- Experience to demonstrate the following:

o Knowledge of CPT-4, ICD-9 and ICD-10 CM coding.

o Knowledge of medical terminology and abbreviates.

o Proficient in Evaluation and Management coding.

o In depth knowledge of PATH, incident to and split shared.

o Proficient in Microsoft Office applications (i.e. Excel, PowerPoint, Word).

- Experience in auditing and physician education of CPT preferred.

Equal Opportunity Employer/Disability/Vet


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