HIM Coding Auditor/Educator

Cook Children's Medical Center; United States; Remoto; USD 85.000 - 120.000; Tempo pieno

Descrizione del lavoro

Cook Children's Medical Center is seeking an HIM Coding Auditor-Educator who leads coding quality initiatives and educates staff on ICD-10-CM/PCS and CPT-4 classifications. The roleDevelops, coordinates, and maintains comprehensive coding education programs based on audit findings and regulatory updates, ensuring accurate DRG assignment and compliance across inpatient and outpatient coding.

The position requires strong auditing skills and experience leading projects or teams, with a focus on

Competenze

• Three years of inpatient and outpatient coding experience with 1 year auditing, leading projects, teams or groups.
• In lieu of education requirements, 5 years inpatient and outpatient coding experience, with two years auditing, leading projects, team or groups required.
• Must have strong knowledge of Coding regulations and regulatory compliance experience.

Mansioni

• 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 DRG assignment and related indicators in accordance with official coding guidelines and policies.

Conoscenze

ICD-10-CM/PCS

CPT-4

Auditing

Coding quality

Education/training

Lead projects/teams

Formazione

Bachelor's Degree in HIM, Business or related field

RHIA/RHIT/CCS certification

Descrizione del lavoro

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.

Must have strong knowledge of Coding regulations and regulatory compliance experience.

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.

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.