Memorial Healthcare System

Healthcare

InpatientCodingComplianceAuditorHIMFTDaysRemoteEligible

$75–105k ~AI est. Miramar, Florida, United States FULL TIME
The Brief

“Inpatient Coding Compliance Auditor - HIM - FT - Days - Remote Eligible at Memorial Healthcare System. Skills: Inpatient coding, Outpatient coding, Coding compliance, Medical record auditing. Audit inpatient medical records. Audit outpatient medical records”

Industry & Context.

Healthcare
Problems you'll solve

Critical thinking; Decisive judgment

Eligibility Requirements

Work with minimal supervision, Work in stressful environment, Take appropriate action

What They're Looking For.

Must Have

3 years inpatient coding experience, 3 years outpatient coding experience, Accredited Program Health Information Management, Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Assign and sequence ICD-10-CM/PCS and CPT codes, Proficient in basic computer skills, Utilizing a computerized encoder, Utilizing electronic medical record systems

Nice to Have

CPC – Certified Professional Coder, HCC - Hierarchical Condition Category Coder, CRC – Certified Risk Adjustment Coder, CPMA Certified Professional Medical Auditor

What You'll Do.

Audit inpatient medical records

Audit outpatient medical records

Review APC assignment

Review MSDRG assignment

Review APRDRG assignment

Follow official coding guidelines

Follow regulatory requirements

Provide training and education

Maintain knowledge of coding principles

Conduct electronic medical record audits

Verify coding accuracy

Verify grouping accuracy

Serve as expert resource

Assist developing departmental goals

Support strategic plan

Analyze claim denials

Resolve claim denials

Respond to external coding audits

Coordinate coder intern education

Develop coder intern training

Implement coder intern training

Align training with AHIMA standards

Provide feedback on audit results

Track coder intern progression

Maintain patient confidentiality

Hold educational sessions

Act as liaison for query process

Tailor education to increase accuracy

Assist coding staff format queries

Assess compliance with query standards

Report audit results to management

How You'll Work.

Team & Collaboration

Inpatient coding managers; Outpatient coding managers; Coding staff; Documentation specialists; Physicians

Communication Scope

Verbal communication; Written communication

Free ATS check

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