Coding Quality Audit Reviewer

HCA Healthcare; Houston (TX); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player in healthcare seeks a dedicated Coding Quality Audit Reviewer. This role focuses on performing internal quality assessments to ensure compliance with coding guidelines and enhance coding accuracy. You will lead quality reviews and apply your medical coding expertise to improve physician documentation. With a commitment to employee development, this organization provides a comprehensive rewards package, including education assistance and a supportive work environment. If you are passionate about making a difference in patient care through quality auditing, this opportunity is perfect for you.

Benefits

Medical Coverage

401(k) Plan with Match

Employee Stock Purchase Plan

Education Assistance

Paid Time Off

Employee Health Assistance Fund

Qualifications

• 5+ years of acute care inpatient and outpatient coding experience.
• 3+ years of coding auditing/monitoring experience preferred.

Responsibilities

• Perform internal quality assessments on coders for compliance.
• Lead quality reviews for inpatient/outpatient coding.

Skills

Medical Coding Expertise

Quality Auditing

Compliance with Coding Guidelines

Communication Skills

Education

Undergraduate Degree in HIM/HIT

Job description

Join to apply for the Coding Quality Audit Reviewer role at HCA Healthcare.

Description

Introduction

Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer? At Work from Home, you come first. HCA Healthcare has committed up to $300 million in programs to support our team members over three years.

Benefits

Work from Home offers a comprehensive rewards package supporting health, life, career, and retirement. Benefits include:

• Medical coverage with low or no cost for many services, including prescriptions, behavioral health, telemedicine, and AirMed transportation.
• Additional options for dental, vision, life, disability, flexible spending, supplemental health plans, auto and home insurance, identity theft protection, legal counseling, long-term care, moving assistance, pet insurance, and more.
• Free counseling and resources for emotional, physical, and financial wellbeing.
• 401(k) plan with a 100% match on 3% to 9% of pay.
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
• Family support benefits including fertility, family building, and adoption assistance.
• Referral services for child, elder, and pet care, home and auto repair, and event planning.
• Discount programs through Abenity and Consumer Discounts.
• Retirement planning, rollover services, and banking partnerships.
• Education assistance for tuition, student loans, certifications, and scholarships.
• Colleague recognition programs.
• Paid time off, family leave, disability coverage, and leaves of absence.
• Employee Health Assistance Fund providing free coverage based on income.

Note: Eligibility for benefits may vary by location.

Every role impacts our patients’ lives. We seek a dedicated Inpatient Coding Quality Auditor to join our team.

Job Summary and Qualifications

As a Coding Quality Audit Reviewer, you will perform internal quality assessments on HSC coders to ensure compliance with coding guidelines, policies, and accurate data for proper reimbursement. You will communicate outcomes to improve coding accuracy and physician documentation.

Responsibilities include:

• Leading and performing quality reviews for inpatient/outpatient coding across HSCs.
• Ensuring adherence to coding guidelines and policies.
• Applying expert knowledge of medical coding.
• Participating in special reviews or projects.
• Maintaining or exceeding 95% productivity and accuracy standards.
• Completing all educational requirements.
• Reviewing standards, guidelines, policies, and resources to stay current.

Qualifications needed:

• Undergraduate degree in HIM/HIT preferred (Associate's or Bachelor's).
• At least 5 years of acute care inpatient and outpatient coding experience.
• At least 3 years of coding auditing/monitoring experience preferred.
• RHIA, RHIT, and/or CCS preferred.

Parallon provides revenue cycle management services for HCA Healthcare, serving nearly 1,000 hospitals and 3,000 physician practices. HCA Healthcare is recognized as one of the World’s Most Ethical Companies and invests heavily in charitable care and community support.

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