Health Information Auditor

Saint Francis Hospital, Inc.; Oklahoma City (OK); Remote; USD 60,000 - 80,000; Full time

Job summary

Saint Francis Hospital, Inc. seeks a Health Information Auditor to ensure coding data quality and timely submission across state, federal, and hospital levels. The role requires staying current with coding rules and serving as a liaison with Patient Access and Patient Billing Services.

Minimum education is a High School Diploma or GED, with CCS or CPC certification required. CPMA preferred, and 8 years of related experience are expected. Proficiency in MS Office and coding software is essential.

Qualifications

• High school diploma or GED required.
• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required for facility or professional coding; CPMA preferred.
• 8 years related experience.
• Proficient with MS Office and coding data systems.

Responsibilities

• Audit a portion of coders' work monthly to ensure accuracy and compliance.
• Focus DRGs in audits to ensure regulatory compliance and hospital reimbursement.
• Ensure timely submission of coded accounts to data repositories.
• Research outstanding accounts and drive completion of investigations.
• Assign Educode modules and train new coders in the team.
• Assist with physician queries for documentation and review pertinent monthly reports (e.g., POA) to improve quality.

Skills

Advanced coding knowledge

MS Office

Data analysis

Interpersonal skills

Education

High School Diploma or GED

Tools

Coding software

Job description

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 73105EOE Protected Veterans/Disability