Coding Auditor - Inpatient

BayCare Health System; Orlando (FL); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a dedicated Inpatient Coding Auditor to join their remote team. This role focuses on conducting audits to ensure compliance and accurate coding of inpatient encounters. The ideal candidate will possess extensive knowledge of anatomy, physiology, and coding guidelines, alongside a strong background in auditing. You'll collaborate with clinical personnel and coding teams to enhance quality and compliance, contributing to the overall excellence of healthcare services. Join a forward-thinking organization that values trust and clinical excellence, and take your career to the next level while making a meaningful impact in the community.

Benefits

Sign-on bonuses available

Qualifications

• In-depth knowledge of anatomy and physiology related to auditing.
• 10+ years of inpatient coding and auditing experience required.

Responsibilities

• Perform inpatient encounter audits and evaluate compliance activities.
• Interact with coders and clinical personnel to ensure accurate coding.

Skills

Anatomy

Physiology

Pharmacology

Pathophysiology

Meeting facilitation

Education

Associate's degree

Bachelor's degree

Tools

MS Access Database

MS Word

MS Excel

Job description

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.

Position Details:

Location: Fully Remote (must reside in the State of Florida, Georgia, South Carolina, or North Carolina)

Status: Full Time (non-exempt)

Shift: 7:00 AM to 3:30 PM

Days: Monday – Friday

The Inpatient Coding Auditor is a full-time remote position. This team member must currently reside in Florida, Georgia, or North Carolina.

Sign on bonuses available!

Responsibilities

1. The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities and services provided by the BayCare Health System HIM Coding Department.
2. Interacts directly with coders, clinical personnel including Clinical documentation specialists, and/or physicians.
3. Audits include documentation and accurate and complete coding of diagnoses, present on admission (POA), procedures/surgeries, and discharge disposition while utilizing ICD-10-CM and ICD-10-PCS guidelines and other official coding references to ensure accurate coding including CMS, Federal Register, Official ICD-10-CM and ICD-10-PCS guidelines, AHA Coding Clinic, etc.
4. Performs special audits for specific issues within facility Inpatient claims.
5. Acts as the Liaison for coding issues with the BayCare Compliance Department while maintaining a database of all audits performed, action taken, outcome and resolution.
6. Provides feedback when coding changes are received and will serve as a resource for leadership within the facility HIM Coding departments.
7. Serves as a resource to the coding department for special projects.

Additional required skills include: In-depth knowledge of Anatomy, Physiology, Pharmacology, and Pathophysiology related to auditing position; MS Access Database, MSWord and MS Excel; Knowledge of regulatory standards and official guidelines appropriate to position; Meeting facilitation skills.

Why BayCare?

Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that is built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive in our forward-thinking culture, where we combine the best technology with compassionate service. We blend high-tech with high touch in ways that are advancing superior health care throughout the communities we serve.

Certifications and Licensures

1. Required - RHIA/RHIT in conjunction with CCS
2. Preferred – RN, CDIP, CCDS, or clinical degree

Education

1. Required – associate’s degree
2. Preferred – bachelor’s degree

Experience

1. Required – required experience includes a minimum 10 years of Inpatient coding experience within a large multi-facility inpatient setting, minimum 10 years of Inpatient auditing experience within a large multi-facility inpatient setting.
2. Preferred - experience includes 3 years of experience with 3M 360.

Equal Opportunity Employer Veterans/Disabled

Position Coding Auditor - Inpatient

Location US:Florida | Business and Administrative | Full Time

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