Remote Inpatient Coding Auditor: Quality & Compliance

HCA Healthcare; Caldwell (ID); On-site; USD 48,000 - 72,000; Full time

Benefits offered by this job

Medical + Vision + Dental

Wellbeing support

Paid time off

401(k) match

Tuition assistance

Fertility and family benefits

Job summary

HCA Healthcare via Parallon is seeking a work-from-home Inpatient Coding Auditor to perform internal quality reviews of Health Information Management coding against national guidelines and company policies, ensuring complete and accurate coding for appropriate reimbursement.

You will lead reviews, ensure adherence to guidelines, and stay current with policies to support data integrity and coding quality across multiple sites, aiming for high productivity and accuracy.

Qualifications

• High school diploma 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.

Responsibilities

• Leads, coordinates and performs all functions of quality reviews 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 resources to assure coding knowledge remains current.

Education

High school diploma and/or GED

Undergraduate degree in HIM/HIT

RHIA/RHIT/CCS certification

Job description

HCA Healthcare via Parallon is seeking a work-from-home Inpatient Coding Auditor to perform internal quality reviews of Health Information Management coding against national guidelines and company policies, ensuring complete and accurate coding for appropriate reimbursement.

You will lead reviews, ensure adherence to guidelines, and stay current with policies to support data integrity and coding quality across multiple sites, aiming for high productivity and accuracy.