Hospital Clinical Coding Compliance Auditor

Memorial Hermann Health System; Tennessee; Remote; USD 70,000 - 95,000; Full time

Job summary

Memorial Hermann Health System is seeking a seasoned coding professional to ensure accurate inpatient and outpatient coding, supporting proper reimbursement and data integrity.

The role emphasizes auditing, education, and guidance to coding staff, while adhering to AHIMA and coding guidelines to deliver safe, high-quality care. Candidates should have RHIT/RHIA/CCA/CCS/CIC credentials and at least four years of hospital coding experience, preferably in trauma or academic settings.

Qualifications

• High school diploma or GED is required.
• RHIT/RHIA/CCA/CCS or CIC certifications from AHIMA or AAPC are required for inpatient coding.
• Outpatient - RHIT, RHIA, or relevant coding certifications from AHIMA or AAPC are required.
• Four (4) years of relevant hospital coding or auditing experience required.
• Experience coding/auditing in a level 1 trauma facility/academic teaching facility strongly preferred.
• Extensive knowledge of ICD-10-CM and CPT coding principles and guidelines.
• Extensive knowledge of 3M Coding applications and resolving coding edits.
• Working knowledge of reimbursement systems and regulations and policies pertaining to documentation, coding, and billing.
• Knowledge of database applications and spreadsheet design.
• Effective oral and written communication skills.

Responsibilities

• Conducts regular coding audits and coordinates ongoing monitoring of coding accuracy.
• Develops and coordinates educational sessions to all coding staff regarding documentation and accurate coding.
• Serves as a resource for coding staff on organization-wide coding and documentation standards and guidelines.
• Designs audit tools to monitor the accuracy of clinical coding.
• Keeps abreast of coding guidelines and reimbursement reporting requirements.
• Conducts trend analyses to identify patterns and variations in coding practices.
• Abides by the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines.
• Ensures safe care to patients, staff and visitors; adheres to Memorial Hermann policies, procedures, and standards within budgetary specifications.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
• Other duties as assigned.

Education

High school diploma or GED

RHIT/RHIA/CCA/CCS/CIC AHIMA or AAPC certifications

Tools

3M Coding applications

Job description

Memorial Hermann Health System is seeking a seasoned coding professional to ensure accurate inpatient and outpatient coding, supporting proper reimbursement and data integrity.

The role emphasizes auditing, education, and guidance to coding staff, while adhering to AHIMA and coding guidelines to deliver safe, high-quality care. Candidates should have RHIT/RHIA/CCA/CCS/CIC credentials and at least four years of hospital coding experience, preferably in trauma or academic settings.