Inpatient Coding Auditor

HCA Healthcare; South Carolina; Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) Plan with 100% match on 3%–9%

Tuition assistance

Employee Stock Purchase Plan

Job summary

HCA Healthcare is seeking a work-from-home Inpatient Coding Auditor to perform internal quality assessments on Health Information Management staff. You will ensure coding compliance with national guidelines and company policies to support accurate reimbursement and data integrity.

Key responsibilities include leading quality reviews for inpatient and outpatient coding, ensuring adherence to guidelines, and maintaining high productivity and accuracy.

Qualifications

• 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.
• High school diploma and/or GED preferred.
• Undergraduate degree in HIM/HIT preferred.

Responsibilities

• Performs internal quality assessment reviews on coders to ensure compliance with national coding guidelines and company policies.
• Reviews outcomes and communicates findings to the HSC team to improve accuracy and data integrity.
• Maintains productivity of at least 95% and accuracy of at least 95%.
• Participates in special reviews or projects and stays current with coding resources.

Education

High school diploma or GED preferred

Undergraduate degree in HIM/HIT preferred

RHIA, RHIT and/or CCS preferred

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. Submit your application for the opportunity below: 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.

CLICK HERE for more information on Parallon HCA Coding

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

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

\"There is so much good to do in the world and so many different ways to do it.\"- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

If you find this opportunity compelling, we encourage you to apply for our Coding Quality Audit Reviewer opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team.

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.