Inpatient Coding Auditor

BayCare Health System; Atlanta (GA); Remote; USD 75,000 - 95,000; Full time

Job summary

A prominent health system is seeking an Inpatient Coding Auditor for a full-time, remote position. The successful candidate will audit inpatient encounters to ensure compliance and accuracy in coding. This role demands extensive experience in inpatient coding and auditing, requiring strong knowledge of anatomy, physiology, and coding guidelines. Join a dedicated team committed to advancing community health with a competitive compensation package and extensive benefits.

Benefits

Paid time off

401k match and additional yearly contribution

Yearly performance appraisals and team award bonus

Community discounts and more

Qualifications

• Minimum 10 years of inpatient coding experience in a large multi-facility setting.
• Minimum 10 years of inpatient auditing experience in a large multi-facility setting.
• Preferred: 3 years of experience with 3M 360.

Responsibilities

• Perform inpatient encounter audits and evaluate compliance activities.
• Interact directly with coders and clinical personnel.
• Act as liaison for coding issues with the BayCare Compliance Department.

Skills

Anatomy

Physiology

Pharmacology

Pathophysiology

Meeting facilitation

Education

RHIA / RHIT in conjunction with CCS

RN, CDIP, CCDS, or clinical degree

Tools

MS Access Database

MS Word

MS Excel

Job description

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.

Location : Fully Remote (must reside in the state of Florida, Georgia, South Carolina, or North Carolina)

Status : Full Time (non-exempt)

Shift : 7 : 00 AM to 3 : 30 PM

Days : Monday – Friday

The Inpatient Coding Auditor is a full-time remote position.

Responsibilities

The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities and services provided by the BayCare Health System HIM Coding Department.

Interacts directly with coders, clinical personnel including Clinical documentation specialists, and / or physicians.

Audits include documentation and accurate and complete coding of diagnoses, present on admission (POA), procedures / surgeries, and discharge disposition while utilizing ICD-10-CM and ICD-10-PCS guidelines and other official coding references to ensure accurate coding including CMS, Federal Register, Official ICD-10-CM and ICD-10-PCS guidelines, AHA Coding Clinic, etc.

Performs special audits for specific issues within facility Inpatient claims.

Acts as the Liaison for coding issues with the BayCare Compliance Department while maintaining a database of all audits performed, action taken, outcome and resolution.

Provides feedback when coding changes are received and will serve as a resource for leadership within the facility HIM Coding departments.

Serves as a resource to the coding department for special projects.

Additional required skills include : In-depth knowledge of Anatomy, Physiology, Pharmacology, and Pathophysiology related to auditing position; MS Access Database, MSWord and MS Excel; Knowledge of regulatory standards and official guidelines appropriate to position; Meeting facilitation skills.

Why BayCare?

Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that is built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive in our forward-thinking culture, where we combine the best technology with compassionate service. We blend high-tech with high touch in ways that are advancing superior health care throughout the communities we serve.

BayCare offers a competitive total reward package including :

Paid time off

401k match and additional yearly contribution

Yearly performance appraisals and team award bonus

Community discounts and more

AND the Chance to be part of an amazing team and a great place to work!

Certifications and Licensures

Required : RHIA / RHIT in conjunction with CCS

Preferred : RN, CDIP, CCDS, or clinical degree

Education

Experience

Required : minimum 10 years of Inpatient coding experience within a large multi-facility inpatient setting and minimum 10 years of Inpatient auditing experience within a large multi-facility inpatient setting

Preferred : 3 years of experience with 3M 360

Equal Opportunity Employer Veterans / Disabled

Location Georgia : Atlanta | Business and Administrative | Full Time

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