Inpatient Coding Data Quality Auditor/Educator

University Hospital, Newark; Newark (NJ); On-site; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking an Inpatient Coding Data Quality Auditor/Educator to enhance the accuracy of claims processing and data collection. In this vital role, you will audit inpatient records, educate coding staff, and streamline workflows to ensure optimal DRG reimbursement. The ideal candidate will possess a Bachelor's degree in Health Information Management, along with CCS certification and extensive experience in inpatient coding. This position offers the chance to make a significant impact in a dynamic healthcare environment, where your expertise will contribute to the quality of patient care and operational excellence. If you are detail-oriented and passionate about healthcare coding, this opportunity is perfect for you.

Qualifications

• Bachelor's Degree in Health Information Management or related field required.
• Minimum of three years of inpatient coding experience in ICD-9 and ICD-10.

Responsibilities

• Ensure consistent processing of claims and collection of data.
• Audit inpatient coded records and provide continuing education.

Skills

ICD-9 and ICD-10 coding

DRG assignment

Medical terminology

Verbal and written communication

Organization and detail orientation

Education

Bachelor's Degree in Health Information Management

RHIA or RHIT certification

CCS certification

Tools

Clintegrity 360

Epic electronic health record

Microsoft Office

Job description

Responsibilities

The primary purpose of the Inpatient Coding Data Quality Auditor/Educator is to ensure the consistent processing of claims and collection of data to optimize DRG reimbursement and produce quality data that accurately reflects the severity and intensity of hospital inpatient services. Audits inpatient coded records, provides continuing education of all inpatient coding staff and facilitates the inpatient coding work flow.

Qualifications

Bachelor's Degree in Health Information Management or a related field required. RHIA or RHIT certified preferred. CCS required. If not CCS certified, must obtain the CCS certification from AHIMA within sixty (60) days of the date of hire, or within sixty (60) days of the next available exam. Minimum of three (3) years of hospital inpatient coding experience in ICD-9 and ICD-10 diagnosis and procedure coding and DRG assignment, preferably in a tertiary care, teaching environment with complex surgical, transplant, trauma, neurosurgery, Ob/Gyn, and neonatology services. Knowledge of medical terminology, anatomy and physiology, disease processes, Coding Clinic, POA, query guidelines required. Knowledge of CMS, Medicaid and third-party payer coding, billing and compliance regulations required. Experience and/or use of an encoder (Clintegrity 360) and Epic electronic health record preferred. Must have the ability to balance multiple and changing priorities. Must be able to read, write and speak English and possess excellent verbal and written communication skills. Must be detail oriented, accurate, organized, and work well independently. Must have a working knowledge of computers and be able to navigate the internet. Must be proficient in Microsoft Office, especially with the use of Excel, Outlook, and shared files as daily tools. Additional related experience may be substituted for the degree requirement on a year-for-year basis.