Inpatient Coding Auditor

Grand Strand Medical Center; Myrtle Beach (SC); Remote; USD 70,000 - 90,000; Full time

Job summary

Parallon HCA Healthcare is seeking a Coding Quality Audit Reviewer for a work-from-home role. You will perform internal quality assessment reviews on coders to ensure compliance with national guidelines and company policies, driving data integrity and accurate reimbursements.

You will lead reviews, ensure adherence to guidelines, and stay current with coding resources and policies. A strong background in inpatient/outpatient coding and auditing is required.

Qualifications

• Minimum 3 years acute care inpatient/outpatient coding experience preferred.
• Minimum 3 years coding auditing/monitoring experience strongly preferred.
• RHIA, RHIT and/or CCS preferred.

Responsibilities

• Leads, coordinates and performs all quality reviews for inpatient and/or outpatient coding across multiple HSCs.
• Assists in ensuring staff adherence with coding guidelines and policy.
• Demonstrates expert level knowledge of medical coding practices and concepts.
• Participates on special reviews or projects.
• Maintains or exceeds 95% productivity standards.
• Maintains or exceeds 95% accuracy.
• Meets all educational requirements as stated in current policy.
• Reviews data quality standards, coding guidelines, company policies and clinical resources to keep skills current.

Skills

Auditing experience

Inpatient coding

Quality assurance

Education

High school diploma or GED

HIM/HIT degree preferred

RHIA/RHIT/CCS preferred

Tools

None

Job description

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized.

Coding Quality Audit Reviewer

Schedule: Monday-Friday Day Shift Hours

Candidate must have Inpatient Facility Coding and DRG Validation experience

Job Summary and Qualifications

As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments.

What you will do in this role:

• Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs
• Assists in ensuring HSC coding staff adherence with coding guidelines and policy
• Demonstrates and applies expert level knowledge of medical coding practices and concepts
• Participates on special reviews or projects
• Maintains or exceeds 95% productivity standards
• Maintains or exceeds 95% accuracy
• Meets all educational requirements as stated in current Company policy
• Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current

What qualifications you will need:

• High school diploma and/or GED preferred
• Undergraduate degree in HIM/HIT preferred
• Minimum of 3 years acute care inpatient/outpatient coding experience preferred
• Minimum of 3 years coding auditing/monitoring experience strongly preferred
• RHIA, RHIT and/or CCS preferred

Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities.

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support,including free counseling and referral services
• Time away from workprograms for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education supportthrough tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefitsfor fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Note: Eligibility for benefits may vary by location.

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.