HIM Coding Auditor/Educator

Cook Children's Health Care System; United States; Remoto; USD 85.000 - 120.000; Tempo pieno

Descrizione del lavoro

Cook Children's Health Care System is seeking an HIM Coding Auditor-Educator who serves as a knowledge expert and leader for ICD-10-CM/PCS and CPT coding quality. You will develop and coordinate education programs, analyze audits, and ensure accurate DRG assignment and related indicators in accordance with official guidelines and policies.

The role requires strong regulatory knowledge, 3+ years inpatient/outpatient coding with auditing experience, and a Bachelor's in HIM or related field, with

Competenze

• Three years of inpatient and outpatient coding experience with 1 year auditing or leading projects required.
• Five years inpatient/outpatient coding experience with two years auditing or leading projects if no degree.
• Strong knowledge of coding regulations and regulatory compliance.

Mansioni

• Develop, coordinate, and maintain coding education and training programs based on audits and regulatory updates.
• Perform and analyze inpatient and outpatient ICD-10-CM/PCS and CPT coding quality reviews to validate DRG assignment and related indicators.

Conoscenze

Inpatient coding

Auditing

Regulatory compliance

Outpatient coding

Formazione

Bachelor's Degree in HIM/related field

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.