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HIM Coding Auditor

Universal Health Services

KING OF PRUSSIA, PennsylvaniaFull TimeMid
Sign in to applyVerified 2h ago
Location
KING OF PRUSSIA, Pennsylvania
Employment
Full Time
Work model
On-Site
Level
Mid
Posted
3h ago

About this role

Responsibilities

Remote opportunity. Independence Physician Management (IPM) was formed in 2012 as the physician services unit. IPM develops and manages multi-specialty physician networks and urgent care clinics within the Acute Care and Behavioral Health Divisions. A subsidiary of UHS, IPM operates in 13 markets across 7 states – and counting. We help doctors manage their practices and clinical procedures so they can concentrate on caring for their patients. To learn more about IPM visit Physician Services - Independence Physician Management - UHS. Successful candidate must live in one of these locations: Pennsylvania Delaware Florida Nevada New Jersey Texas Coder Certification Required.The Coding Auditor is responsible for determining that ICD-10, CPT-4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and coding skills/ experience to ensure timely and accurate audits of clinical documentation as requested. Key Responsibilities include: Performs accurate and timely review of clinical documentation as requested to ensure that ICD-10, CPT-4 and HCPCs coding is supported by the clinical documentation is medical record. Meets or exceeds established performance targets (productivity and quality) established by the Manager, Coding. Reviews audit samples following CBO IPM policy and utilizing established protocols, audit tools and worksheets to report accurate and timely findings to the Coding Manager. Meets or exceeds established performance targets (productivity and quality) established by the Manager, Coding. Assists in educating providers on clinical documentation requirements to support their coding and ensure all coding (charge) possibilities are being captured. Provides feedback on audit and education plans and materials and makes recommendations for updates that will enhance the auditing process. Maintains an expanded knowledge base CPT-4 and ICD-10 codes, government, managed care and third party billing guidelines, AMA, AAP, CMS and coding policies. Meets continued education guidelines to maintain current AAPC CPC certification Exercises good judgement in escalating identified coding trends that may negatively impact productivity, quality or revenue to enhance clinical documentation to support codes billed, drive consistency across IPM, mitigate claim denials, expedite reprocessing of claims and maximize opportunities to enhance front end, coding-related claim edits to facilitate first pass resolution. Participates in regularly scheduled team meetings offering new paths, procedures and approaches to maximize opportunities for performance and process improvement. Benefit & Rewards Highlights  Challenging and rewarding work environment  Competitive Compensation & Generous Paid Time Off  Excellent Medical, Dental, Vision and Prescription Drug Plans  401(K) with company match and discounted stock plan    Career development opportunities within UHS and its 300+ Subsidiaries!  Pet Insurance More information is available on our Benefits Guest Website: benefits.uhsguest.com  About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory

Listing verified 2h ago. Applications go through the company's official careers site.

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HIM Coding Auditor at Universal Health Services, KING OF PRUSSIA, Pennsylvania | Yoinka