Hospital Coding Compliance Auditor — Drive Data Integrity

Memorial Hermann Health System; Charlotte (NC); Remote; USD 70,000 - 110,000; Full time

Job summary

Memorial Hermann Health System is seeking an experienced clinical coder to ensure accuracy and completeness of hospital coding, supporting appropriate reimbursement and data integrity across inpatient and outpatient services. The role typically reports to the Coding Compliance Manager and requires AHIMA or AAPC certification and at least four years of hospital coding or auditing experience.

Responsibilities include conducting coding audits, developing educational sessions for coding staff, and

Qualifications

• Four (4) years of relevant hospital coding or auditing experience.
• Experience coding/auditing in a level 1 trauma facility/academic teaching facility preferred.
• Extensive knowledge of ICD-10-CM and CPT coding principles.
• Extensive knowledge of 3M Coding applications and resolving coding edits.
• Working knowledge of reimbursement systems 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, providing continuous feedback to coding staff.
• 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 and budgetary specifications.
• Promotes professional growth and development; mentors staff.
• Demonstrates commitment to compassionate, personalized patient experiences.

Skills

ICD-10-CM knowledge

CPT coding principles

Auditing experience

Communication skills

Reimbursement knowledge

Working knowledge of databases

Education

RHIT/RHIA/CCA/CCS/CIC certifications

High school diploma or GED

Tools

3M Coding Applications

Databases & spreadsheets

Job description

Memorial Hermann Health System is seeking an experienced clinical coder to ensure accuracy and completeness of hospital coding, supporting appropriate reimbursement and data integrity across inpatient and outpatient services. The role typically reports to the Coding Compliance Manager and requires AHIMA or AAPC certification and at least four years of hospital coding or auditing experience.

Responsibilities include conducting coding audits, developing educational sessions for coding staff, and