Inpatient Coding Auditor

Frankfort Regional Medical Center; United States; A distancia; USD 70.000 - 95.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical benefits

401(k) matching

Tuition assistance

Descripción de la vacante

Parallon is seeking a work-from-home Coding Quality Audit Reviewer to lead internal quality assessments of HIM coders, ensuring coding compliance with national guidelines and company policies. The role focuses on accuracy, data integrity, and physician documentation quality to support appropriate reimbursement.

Your responsibilities include coordinating routine and incentive-driven reviews, monitoring coding accuracy, and supporting HSC teams with policy-driven improvements.

Formación

• Requires strong quality review experience in inpatient/outpatient coding.
• Demonstrates expert level knowledge of coding practices and concepts.
• Adheres to coding guidelines and company policies.
• Reviews data quality standards and clinical documentation to ensure accuracy.

Responsabilidades

• Leads and performs quality reviews for inpatient and/or outpatient coding across multiple sites.
• Ensures staff adherence to coding guidelines and policy.
• Maintains high productivity and accuracy metrics.
• Participates in special reviews or projects.

Conocimientos

Quality auditing

Medical coding

Policy adherence

Data quality improvement

Educación

RHIA/RHIT/CCS preferred

Undergraduate HIM/HIT degree preferred

Descripción del empleo

Coding Quality Audit Reviewer

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.

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

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

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs 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 support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

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.