Remote Coding Quality Auditor — DRG & CDI Insights

Hackensack Meridian Health; Neptune City (NJ); Remote; USD 87.000 - 107.000; Vollzeit

Zusammenfassung

Hackensack Meridian Health is seeking a Coding Quality Auditor to monitor compliance with clinical documentation and coding regulations, ensuring accurate reimbursement and support for public reporting.

This 100% remote role requires reviewing DRG assignments, guiding physicians and coders, performing monthly data analysis, and contributing to education and process improvement across the HIM team.

Qualifikationen

• Inpatient coding experience in a complex healthcare environment.
• Minimum 5 years of inpatient coding experience.
• Minimum 2 years of quality improvement audit.
• Certified Coding Specialist certification required.
• Proficient with ICD-10 and DRG methodologies.

Aufgaben

• Reviews DRG assignment for Medicare/Medicaid inpatients and related diagnoses for reimbursement and reporting.
• Analyzes physician documentation for coding accuracy and queries when needed.
• Guides Inpatient Coders on coding changes and education.
• Performs data analysis on DRG and public reporting for leadership review.
• Applies POA indicators to inpatient charts and supports DNFB goals.
• Participates in special audits and educates coding staff.

Kenntnisse

Excellent written verbal interpersonal

Proficient computer skills

ICD-10 & DRG methodologies

Data reporting and collection

Quality improvement audits

Teamwork and collaboration

Ausbildung

Associate's degree or higher or equivalent

Tools

3M coding system

Jobbeschreibung

Hackensack Meridian Health is seeking a Coding Quality Auditor to monitor compliance with clinical documentation and coding regulations, ensuring accurate reimbursement and support for public reporting.

This 100% remote role requires reviewing DRG assignments, guiding physicians and coders, performing monthly data analysis, and contributing to education and process improvement across the HIM team.