Strategic Hospital Coding Compliance Auditor

Memorial Hermann; Nashville (TN); Remote; USD 65,000 - 90,000; Full time

Job summary

Memorial Hermann Health System in Nashville is seeking a skilled inpatient/outpatient coder to ensure accuracy and completeness of clinical coding, supporting appropriate reimbursement and data integrity. The role reports to Coding Compliance Manager.

You will audit, educate, and maintain coding standards across departments, using 3M coding tools, ICD-10-CM and CPT guidelines. A minimum of four years in hospital coding and AHIMA/AAPC certifications are required.

Qualifications

• Four (4) years of hospital coding or auditing experience.
• Experience coding in a level 1 trauma facility strongly preferred.
• Extensive knowledge of ICD-10-CM and CPT coding guidelines.
• Knowledge of reimbursement systems and regulations pertaining to documentation, coding and billing.

Responsibilities

• Conducts regular coding audits and coordinates ongoing monitoring of coding accuracy, providing feedback to staff.
• Develops and coordinates educational sessions for coding staff on documentation and accurate coding.
• Serves as a resource for organization-wide coding standards and guidelines.
• Designs audit tools to monitor coding accuracy and trends.
• Ensures adherence to AHIMA standards and official coding guidelines.

Skills

ICD-10-CM knowledge

CPT coding principles

Effective communication

Auditing experience

Education

High school diploma or GED

RHIT/RHIA/CCA/CCS/CIC coding certifications (AHIMA/AAPC)

Tools

3M Coding

Job description

Memorial Hermann Health System in Nashville is seeking a skilled inpatient/outpatient coder to ensure accuracy and completeness of clinical coding, supporting appropriate reimbursement and data integrity. The role reports to Coding Compliance Manager.

You will audit, educate, and maintain coding standards across departments, using 3M coding tools, ICD-10-CM and CPT guidelines. A minimum of four years in hospital coding and AHIMA/AAPC certifications are required.