Coding Auditor

Hendrick Medical Center; Abilene (TX); Remote; USD 70,000 - 100,000; Full time

Job summary

Hendrick Medical Center in Abilene, TX, is seeking a Coding Compliance Auditor to conduct coding compliance audits of inpatient and outpatient encounters. You will follow official coding guidelines as supported by clinical documentation in health records and validate abstracted data elements essential to payment methodology.

Applicants should hold AHIMA and/or AAPC credentials with CCS preferred, and demonstrate strong auditing and reporting abilities.

Qualifications

• Associates degree in relevant field preferred or combination of education and experience
• Five (5) years coding experience including hospital inpatient and outpatient encounters
• AHIMA and/or AAPC Coding Credential; CCS preferred
• Ability to consistently and accurately audit coding of inpatient and outpatient encounters
• Knowledge of ICD-10 CM/PCS; CPT-4 coding guidelines and methodologies
• Knowledge of disease pathophysiology and drug utilization
• Knowledge of MS-DRG classification and reimbursement structures
• Knowledge of APC; OCE; NCCI classification and reimbursement structures
• Must be detail oriented and able to work independently
• Computer knowledge of MS Office
• Excellent interpersonal skills
• Ability to work in a virtual setting under minimal supervision
• Designated Driver
• NoOSHA Category3 - Low Risk

Responsibilities

• Conduct coding compliance audits of inpatient and outpatient encounters
• Follow official coding guidelines as supported by clinical documentation in health records
• Validate abstracted data elements integral to payment methodology

Skills

Audit coding

Clear audit reports

Pre-hire assessment

Medical terminology

ICD-10 CM/PCS

CPT-4 guidelines

MS-DRG knowledge

APC knowledge

OCE knowledge

NCCI knowledge

MS Office

Interpersonal skills

Time management

Remote work ability

Education

Associate degree

Tools

MS Office

Job description

Coding Compliance Auditor

Conducts coding compliance audits of inpatient and outpatient encounters to validate code assignment. Follows the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology.

Job Requirements

Minimum Education

Associates degree in relevant field preferred or combination of equivalent of education and experience

Minimum Work Experience

Five (5) years coding experience including; but not limited to; hospital inpatient and outpatient encounters

Required Licenses/Certifications

AHIMA and/or AAPC Coding Credential; CCS preferred

Required Skills; Knowledge; and Abilities

• Ability to consistently and accurately audit coding of inpatient and outpatient encounters
• Ability to create clear and concise audit reports and maintain productivity standards
• Must successfully pass pre-hire coding assessment
• Knowledge of medical terminology; ICD-10 CM/PCS; EM; and CPT-4 coding guidelines and methodologies
• Knowledge of disease pathophysiology and drug utilization
• Knowledge of MS-DRG classification and reimbursement structures
• Knowledge of APC; OCE; NCCI classification and reimbursement structures
• Must be detail oriented and have the ability to work independently
• Computer knowledge of MS Office
• Must display excellent interpersonal skills
• Ability to demonstrate initiative and discipline in time management and assignment completion
• Ability to work in a virtual setting under minimal supervision
• Designated Driver
• NoOSHA Category3 - Low Risk