Pre-Billing Coding Auditor & QA Lead

Methodist Hospitals; Merrillville (IN); On-site; USD 50,000 - 75,000; Full time

Job summary

Methodist Hospitals in Merrillville, Indiana seeks a professional to ensure accuracy in medical coding for optimal reimbursement. This role includes performing coding audits, maintaining quality standards, and educating coding staff, with a focus on the ICD 10-CM/PCS and CPT/HCPCS guidelines.

The ideal candidate should have an Associates Degree in Health Information Technology. Certification (RHIT/RHIA) is required, with preference given to those with relevant experience. Join us to contribute to high patient care standards!

Qualifications

• Strong proficiency in English, both verbal and written.
• Prior experience as a Clinical Documentation Specialist is preferable.
• Basic understanding of coding guidelines essential.
• Knowledge of medical terminology, anatomy, and pathophysiology required.
• Strong interpersonal and communication skills for effective interaction with customers.
• Excellent organizational and analytical skills needed.
• Knowledge of service intensity, severity of illness, and treatment plans.
• Strong analytical thinking and problem-solving abilities needed.

Responsibilities

• Ensure accuracy and quality of coding assignments.
• Perform coding audits and data quality reviews.
• Maintain audit response times within specified limits.
• Review abstracted data for quality assurance.
• Educate coding staff on proper coding guidelines.
• Stay updated on CMS regulations and coding initiatives.
• Communicate audit results and recommendations to management.
• Participate in coding team meetings to discuss issues.

Skills

English language proficiency

Leadership skills

Understanding of coding guidelines

Knowledge of medical terminology

Interpersonal and communication skills

Organizational skills

Analytical skills

Critical thinking skills

Education

Associates Degree in Health Information Technology

Bachelors Degree in Health Information Technology

Job description

Methodist Hospitals in Merrillville, Indiana seeks a professional to ensure accuracy in medical coding for optimal reimbursement. This role includes performing coding audits, maintaining quality standards, and educating coding staff, with a focus on the ICD 10-CM/PCS and CPT/HCPCS guidelines.

The ideal candidate should have an Associates Degree in Health Information Technology. Certification (RHIT/RHIA) is required, with preference given to those with relevant experience. Join us to contribute to high patient care standards!