Senior Inpatient Coding Compliance Auditor & Mentor

NEPSE Trading; Northern (KY); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Memorial Hermann is seeking a seasoned Coding Auditor to ensure accurate clinical coding for optimal reimbursement and data integrity. You will audit, educate, and support coding staff, aligning practices with AHIMA and CPT/ICD-10-CM guidelines.

A strong knowledge of reimbursement policies and 3M tools is essential. The ideal candidate has hospital coding experience, RHIT/RHIA/CCA/CCS/CIC or AHIMA/AAPC certs, and excellent communication skills.

Qualifications

• High school diploma or GED required.
• RHIT/RHIA/CCA/CCS/CIC or AHIMA/AAPC coding certification required.

Responsibilities

• Conducts regular coding audits and coordinates ongoing monitoring of coding accuracy, providing continuous feedback to coding staff.
• Develops and coordinates educational sessions for coding staff regarding documentation and accurate coding.
• Serves as a resource for coding staff on organization-wide coding and documentation standards and guidelines.
• Designs audit tools to monitor the accuracy of clinical coding.
• Keeps abreast of coding guidelines and reimbursement reporting requirements.
• Conducts trend analyses to identify patterns and variations in coding practices.
• Adheres to AHIMA standards and official coding guidelines.
• Promotes professional growth and development within the department.

Skills

Coding audits

ICD-10-CM & CPT knowledge

3M Coding applications

Reimbursement systems knowledge

Database & spreadsheet design

Oral & written communication

Hospital coding experience

Education

High school diploma or GED

RHIT/RHIA/CCA/CCS/CIC certification

AHIMA/AAPC coding certification

Tools

3M Coding applications

Job description

Memorial Hermann is seeking a seasoned Coding Auditor to ensure accurate clinical coding for optimal reimbursement and data integrity. You will audit, educate, and support coding staff, aligning practices with AHIMA and CPT/ICD-10-CM guidelines.

A strong knowledge of reimbursement policies and 3M tools is essential. The ideal candidate has hospital coding experience, RHIT/RHIA/CCA/CCS/CIC or AHIMA/AAPC certs, and excellent communication skills.