Certified Medical Coding Auditor

University of Missouri Health Care; Columbia Township (MO); Remote; USD 49,000 - 78,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Tuition assistance

Job summary

University of Missouri Health Care is seeking a Certified Medical Coding Auditor to support inpatient coding audits and education for Health Information Management staff. The role emphasizes accuracy, compliance with coding guidelines, and development of audit plans to improve coding quality.

The candidate will conduct internal and external audits, analyze findings, and provide corrective actions while supporting pre-billing reviews and ongoing staff training within MU Health Care's inpatient

Qualifications

• Associate degree or higher in health information management or related field.
• Minimum 3 years in coding, audit, or denials coordination.
• Holds RHIA/RHIT/CCS/COC/CIC certification; CPC/CCA holders must obtain RHIA/RHIT/CCS/COC/CIC within 1 year.
• Strong knowledge of ICD-10-CM/PCS, CPT, DRGs, and coding guidelines.
• Excellent written and verbal communication skills.

Responsibilities

• Conduct internal coding audits and coordinate external audits for accuracy.
• Develop audit plans and ensure compliance with guidelines.
• Analyze audit findings and provide corrective action plans.
• Plan and deliver education programs for HIM staff.
• Support pre-billing reviews and proper charge capture.
• Perform department duties as needed.

Skills

ICD-10-CM/PCS coding

CPT coding

DRG knowledge

Coding guidelines

Audit and analytics

Communication skills

Education

Associate's degree in health information management or related field

RHIA/RHIT/CCS/COC/CIC certification (AHIMA/AAPC)

Job description

Shift

Monday - Friday, Flexible Day Shift

Work Arrangement

Remote

Department

Medical Coding & Data Management - Inpatient Coding

Compensation

• Base Pay Range: $23.66 - $37.36 per hour, based on experience

ABOUT THE JOB

MU Health Care is looking for a detail-oriented Certified Medical Coding Auditor to join our Inpatient Coding Team. We seek a candidate with a passion for ensuring accuracy and compliance in medical coding, embodying a commitment to excellence in healthcare. The ideal candidate will possess a keen eye for detail, conducting thorough internal and external coding audits to guarantee precision in code assignment, in alignment with evolving guidelines and policies. As a key member of our team, you'll play a vital role in developing and implementing audit plans, providing insightful analysis of findings, and delivering engaging education programs for our Health Information Management coding staff. Your commitment to continuous improvement and adherence to corporate compliance policies will contribute to the overall success of MU Health Care, where excellence in healthcare is not just a goal but a shared commitment.

ABOUT MU HEALTH CARE

MU Health Care is proud to be named one of Forbes' Best-in-State Employers seven years in a row, and that's largely a result of the incredible culture and team we've built. At MU Health Care, we have an inspired, hard-working and collaborative environment driven by our mission to save and improve lives. Here, we believe anything is possible and rally around solutions. We celebrate innovation and offer opportunities to be a part of something bigger - to have a voice and role in the work that is serving our community and changing the field of medicine.

Our academic health system - the only in mid-Missouri - is home to seven hospitals, including the region's only Level 1 Trauma Center and region's only Children's Hospital, as well as over 90 specialty clinics. Here you can define your career among our many clinical and nonclinical positions - with growth, opportunity and support every step of the way.

EMPLOYEE BENEFITS

• Health, vision and dental insurance coverage starting day one
• Generous paid leave and paid time off, including ten holidays
• Multiple retirement options, including 100% matching up to 8%and full vesting in three years
• Tuition assistance for employees (75%) and immediate family members (50%)
• Discounts on cell phone plans, rental cars, gyms, hotels and more
• See a comprehensive list of benefits

DETAILED JOB DESCRIPTION

• Conduct internal and coordinate external coding audits of medical record documentation to ensure coding is complete and accurate per official coding guidelines, third-party payer guidelines, and internal facility policies.
• Develop and implement detailed audit plans and programs to ensure compliance with MU Health Care coding guidelines, official coding guideline changes, and new code implementations. Conduct regular coding audits to ensure compliance with changes in official coding guidelines and new code implementations.
• Analyze audit and denial responses and findings to ensure concordance with all applicable rules and regulations. Provide root cause and corrective action plans for identified issues.
• Plan and execute education programs and presentations for Health Information Management (HIM) coding staff based on internal and external audit findings.
• Conduct pre-billing new hire audit reviews and education per Corporate Compliance policies to ensure appropriate code assignment and proper charge capture.
• May complete unit/department specific duties and expectations as outlined in department documents.

KNOWLEDGE, SKILLS, AND ABILITIES

• Advanced knowledge of ICD-10-CM/PCS coding, CPT coding, diagnosis-related groups (DRG), and coding guidelines.
• Strong oral and written communication and interpersonal skills.

REQUIRED QUALIFICATIONS

• Associate's degree in health information management or a health-related field, or an equivalent combination of education and experience from which comparable knowledge, skills and abilities can be acquired.
• Three (3) years of experience in coding, audit, or denials coordination.
• One of the following certifications:
  • Registered Health Information Administrator (RHIA) certification by the American Health Information Management Association (AHIMA)
  • Registered Health Information Technician (RHIT), by AHIMA
  • Certified Coding Specialist (CCS) by AHIMA
  • Certified Outpatient Coder (COC) certification by American Academy of Professional Coders (AAPC)
  • Certified Inpatient Coder (CIC) by AAPC
• New hires with Certified Coding Associate (CCA) certification by AHIMA, or Certified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) must obtain RHIA, RHIT, CCS, COC, or CIC within one (1) year as a condition of continued employment in this job classification.

PREFERRED QUALIFICATIONS

• Additional license/certification requirements as determined by the hiring department.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met with or without reasonable accommodation. The performance of these physical demands is an essential function of the job. The employee may be required ambulate, remain in a stationary position and position self to reach and/or move objects above the shoulders and below the knees. The employee may be required to move objects up to 10 lbs.

Equal Employment Opportunity

The University of Missouri is an Equal Opportunity Employer.