HIM Coding Auditor/Educator

CCMC Cook Children's Medical Center; Texas; Hybrid; USD 90,000 - 120,000; Full time

Job summary

CCMC Cook Children's Medical Center is seeking an HIM Coding Auditor-Educator to lead ICD-10-CM/PCS and CPT-4 coding quality education. Develops training programs based on audits, updates, and gaps; conducts audits to validate DRG assignment and indicators per guidelines.

Requires a bachelor's in HIM or related field and RHIA/RHIT/CCS certification, with 3+ years of coding experience including auditing/leadership. This remote role serves the United States with standard 40-hour weeks.

Qualifications

• Three years of inpatient and outpatient coding experience with 1 year auditing, leading projects, teams or groups.
• Alternative: 5 years coding with auditing and leadership responsibilities in inpatient/outpatient settings.

Responsibilities

• Serve as a knowledge expert and leader for ICD-10-CM/PCS and CPT-4 coding quality and education.
• Develop, coordinate and maintain coding education and training programs based on audits and updates.
• Perform and analyze inpatient/outpatient coding quality reviews to validate DRG, SOI, POA indicators and diagnoses.

Skills

Auditing

Team leadership

Regulatory knowledge

Education

RHIA/RHIT/CCS certification

Job description

Location

Remote - TX Department: HIM-Coding Shift: First Shift (United States of America) Standard Weekly Hours: 40

Summary

The HIM Coding Auditor-Educator serves as a knowledge expert and leader for ICD-10-CM/PCS and CPT-4 classification systems coding quality and education. Develops, coordinates, and maintains coding education and training programs based on audit findings, regulatory updates, identified knowledge gaps, and coding quality trends. Performs and analyzes inpatient and outpatient ICD-10-CM/PCS and CPT coding quality reviews to validate accurate DRG assignment, Severity of Illness, Present on Admission indicators, principal diagnosis, procedures, and reportable secondary diagnoses in accordance with official coding guidelines and organizational policies.

Experience

• Three years of inpatient and outpatient coding experience with 1 year auditing, leading projects, teams or groups required.
• In lieu of education requirements, 5 years inpatient and outpatient coding experience, with two years of auditing, leading projects, team or groups required.

Education

Bachelor's Degree in HIM, Business or related field required.

Licensure, Registration, and/or Certification

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or CCS certification.

About Us

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

Eligibility and Residency Requirements

Cook Children's is a Texas-only employer. If you are hired, you will need to maintain your primary residence within the state of Texas, along with all licenses and credentials required for your position throughout your employment.

Promise

Promise, a strong word with deep meaning that everyone understands - especially kids. This is the foundation of our organization and what drives us to blaze new trails in medical care, research, advanced technology, as well as programs and initiatives that benefit children who may not otherwise have access to quality health care. Every day our employees come to work with the intention of keeping our Promise. It's the guiding principle that helps our patients and their families get better and stay healthy. As a member of our Cook Children's team, you can be an important part of making that happen.