Senior Coding Auditor: Inpatient & Outpatient Data Quality

Baptist Health; United States; Remote; USD 43,000 - 56,000; Full time

Job summary

Baptist Health is seeking a Coding Education Specialist to impart ongoing education to Coding Staff and conduct complex audits of clinically coded data for accuracy and completeness. This role serves as an expert in Outpatient Prospective Payment System and Inpatient Prospective Payment System analysis.

Responsibilities include independent data quality reviews, concurrent audits of APC/ASC/MS-DRGs, preparing reports, tracking audit results, and delivering trainings for coders and clinical staff

Qualifications

• CCS or RHIT certification within 2 years if not already certified.
• Bachelor's degree in Health Information Management or equivalent preferred.
• AHIMA ICD-10-CM/PCS trainer certification preferred.
• Proficient in ICD-10-CM/PCS, CPT-4, HCPCS coding conventions and guidelines.
• Proficient in encoder and National and Local Coverage Determinations.
• MS Word, Excel and PowerPoint proficiency.
• Minimum 2 years experience.

Responsibilities

• Impart continuous education to Coding Staff and conduct complex audits of coded data to assess accuracy, completeness, and consistency.
• Serve as expert in Outpatient Prospective Payment System or Inpatient Prospective Payment System analyses.
• Independently review coded data quality through ongoing analysis and evaluation of outpatient or inpatient records; perform concurrent audits on APC/ASC or MS-DRGs.
• Prepare reports and continuously track and trend audit results; create presentations for Coding Staff education.
• Collaborate with HIM coding management to prepare education and training for coders, clinical departments and physicians for documentation improvement on a monthly, quarterly or as-needed basis.
• Improve consistency and efficiency in outpatient or inpatient claims processing and data collection to optimize APC, ASC or DRG reimbursement.

Skills

ICD10CM/PCS

CPT4

HCPCS coding

Education

High School, Cert, GED, Trn, Exper.

Bachelor's degree in Health Information Management or equivalent

Tools

MS Word

Excel

PowerPoint

Job description

Baptist Health is seeking a Coding Education Specialist to impart ongoing education to Coding Staff and conduct complex audits of clinically coded data for accuracy and completeness. This role serves as an expert in Outpatient Prospective Payment System and Inpatient Prospective Payment System analysis.

Responsibilities include independent data quality reviews, concurrent audits of APC/ASC/MS-DRGs, preparing reports, tracking audit results, and delivering trainings for coders and clinical staff