Health Information Auditor

Saint Francis Health System; Northern (KY); Hybrid; USD 85,000 - 100,000; Full time

Job summary

Saint Francis Health System is seeking a Health Information Auditor to ensure coding accuracy and regulatory compliance across hospital data. This remote-friendly, full-time role emphasizes DRG audits, data quality, and timely submission to data repositories.

The candidate will conduct monthly coder audits, train staff, address physician documentation queries, and generate quality reports, leveraging strong coding knowledge and MS Office skills.

Qualifications

• Minimum education: High School Diploma or GED.
• Licensure/certification: CCS or CPC required; CPMA preferred.
• 8 years related work experience.
• Advanced coding knowledge; strong analytical abilities.

Responsibilities

• Audits a percentage of coders' work monthly to ensure accuracy and compliance.
• Focuses on DRG audits based on outcomes to ensure regulatory compliance.
• Ensures timely submission of coded accounts affecting hospital reimbursement.
• Researches outstanding accounts and follows up to completion.
• Assigns and monitors Educode modules; trains new coders.
• Assists with physician documentation queries.
• Produces monthly quality reports and educates coders on LCDs and guidelines.

Skills

Coding knowledge

Interpersonal skills

Data analysis

MS Office

Software skills

Education

High School Diploma or GED

Tools

MS Office

Job description

## Health Information AuditorApply: Remote - OK: Full time: Posted Today: JR32388**Current Saint Francis Employees - Please click** **HERE** **to login and apply.**Full TimeDaysMonday-FridayDay-shiftJob Summary: The Health Information Auditor ensures that coding specialists are well- trained and up-to-date on rapidly changing regulatory requirements affecting coding compliance and hospital reimbursement. The auditor ensures coding data quality, accuracy and timeliness of submission to data repositories at the state, federal and hospital levels. The auditor must maintain an up-to-date knowledge of all coding rules and guidelines and serves as a liaison with Patient Access and Patient Billing Services. The auditor is responsible for ongoing and continuous monitoring of the quality of all coded data, performing monthly focused audits on all coders and ensuring that a 95% accuracy rate is maintained. Minimum Education: High School Diploma or GED required. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) required for facility coding or Certified Professional Coder (CPC) for professional coding. Certified Professional Medical Auditor (CPMA) preferred. Work Experience: 8 years related experience. Knowledge, Skills and Abilities: Ability to utilize related software and computer/pc skills. Advanced knowledge of coding. Excellent interpersonal, written and oral skills. Ability to analyze data and produce reports using MS office. Essential Functions and Responsibilities: Audits randomly a % of each coders' work monthly, ensuring accuracy and compliance. Audits focus DRGs as determined by outcomes to ensure compliance with regulatory standards. Ensures timely submission of all coded accounts affecting hospital reimbursement. Researches outstanding accounts and works to ensure completion. Assigns and monitors Educode modules, ensuring that each coder completes assigned lessons. Trains and orients new coders to the team. Assists with physician queries for documentation. Reviews pertinent reports such as monthly POA and produces individual and cumulative monthly quality reports. Educates coders on LCD's, clinical coding guidelines and other regulatory guidelines. Decision Making: Independent judgment in making decisions from many diversified alternatives that are subject to general review in final stages only. Working Relationships: Coordinates activities of others (does not supervise). Leads others in same work performed (does not supervise). Has input on performance evaluations but does not prepare or give. Works directly with patients and/or customers. Works with internal/external customers. Special Job Dimensions: None.Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.Health Information Ambulatory Coding - Yale CampusLocation:Virtual Office, Oklahoma 73105