Coding Quality Auditor

Hackensack Meridian Health Inc.; West Grove (NJ); Remote; USD 70,000 - 100,000; Full time

Job summary

Hackensack Meridian Health Inc. is seeking a Coding Quality Auditor to monitor compliance with clinical documentation, supporting coding and billing regulations and public reporting.

Qualifications

• Associate's degree or higher or equivalent years of coding experience (2-4 years).
• Minimum of 5 years of inpatient coding experience in a complex healthcare environment.
• Minimum 2 years of quality improvement audit.
• Experience and thorough knowledge of ICD-10 and DRG methodologies.
• Knowledge of data reporting requirements and proficiency in computer skills.
• Extensive knowledge in data collection and clinical coding reviews.
• Excellent written, verbal, and interpersonal communication skills.

Responsibilities

• Monitor compliance with clinical documentation to support coding and billing regulations.
• Support reimbursement and public reporting initiatives as directed by Hackensack Meridian Health.
• Ensure adherence to coding quality standards and performance improvement initiatives.

Skills

Inpatient coding experience

Quality improvement audit

ICD-10 & DRG methodologies

Data reporting requirements

Data collection and coding reviews

Written & verbal communication

Computer skills

Education

Associate's degree or higher or equivalent years of coding experience

Certified Coding Specialist

Tools

Microsoft Office

Google Suite

Job description

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Coding Quality Auditor is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to insure appropriate reimbursement and to support public reporting and various initiatives as directed by Hackensack Meridian Health (HMH) Network.

This position is 100% remote, the hours are 11 am - 7:30 pm and it require a team member to work one weekend day each week, Saturday or Sunday.

Education, Knowledge, Skills and Abilities Required:

• Associate's degree or higher or equivalent years of coding experience (2-4 years).


• Minimum of 5 years of inpatient coding experience in a complex healthcare environment.


• Minimum 2 years of quality improvement audit.


• Experience and thorough knowledge of ICD-10 and DRG methodologies.


• Knowledge of data reporting requirements and proficiency in computer skills.


• Extensive knowledge in data collection and clinical coding reviews.


• Excellent written, verbal, and interpersonal communication skills.


• Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

Licenses and Certifications Required:

• Certified Coding Specialist.