Inpatient Coding Compliance Auditor

🕒 April 16

🌪️ Kansas, Louisiana, +5 more states – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

🦅 H1B Visa Sponsor

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👻 Ghost score 55%

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Logo of Memorial Hermann Health System

Memorial Hermann Health System

10,000+ employees

⚕️ Healthcare Insurance

🏥 Healthcare

🧘 Wellness

💰 $5M Grant on 2022-08

Healthcare Insurance • Healthcare • Wellness

Memorial Hermann Health System is a comprehensive healthcare organization that provides a wide range of medical services, including cancer care, cardiovascular services, emergency and trauma care, women’s health, and surgical services. With the largest network of emergency centers in Greater Houston, it focuses on delivering advanced healthcare and wellness programs tailored to individual needs. Memorial Hermann is committed to advancing health equity and enhancing community health through its various medical facilities and services.

📋 Description

• Ensure the accuracy and completeness of clinical coding for appropriate reimbursement, data integrity, and validation • Conduct regular coding audits and coordinate ongoing monitoring of coding accuracy • Provide continuous feedback to coding staff • Develop and coordinate educational sessions on documentation and accurate coding • Serve as a resource on organization-wide coding and documentation standards and guidelines • Design audit tools to monitor clinical coding accuracy • Keep abreast of coding guidelines and reimbursement reporting requirements • Conduct trend analyses to identify patterns and variations in coding practices • Abide by AHIMA Standards of Ethical Coding and official coding guidelines • Ensure compliance with Memorial Hermann policies, procedures, standards, productivity, and quality requirements • Promote professional growth and development through continuing education and competency requirements • Support department goals and serve as a preceptor, mentor, and resource to less experienced staff • Provide safe, caring, personalized, and efficient experiences to patients and colleagues • Perform other duties as assigned

🎯 Requirements

• High school diploma or GED, required • Required inpatient certification: RHIT, RHIA, CCA, CCS, or CIC from AHIMA or AAPC • Required outpatient certification: RHIT, RHIA, or relevant coding certification from AHIMA or AAPC • Four (4) years of relevant hospital coding or auditing experience required • Experience coding/auditing in a level 1 trauma facility/academic teaching facility strongly preferred • Extensive knowledge of ICD-10-CM and CPT coding principles and guidelines • Extensive knowledge of 3M Coding applications and resolving coding edits • Working knowledge of reimbursement systems, regulations, and policies pertaining to documentation, coding, and billing • Knowledge of database applications and spreadsheet design • Effective oral and written communication skills • Must be located in Texas, Kansas, Oklahoma, Tennessee, Louisiana, Georgia, South Carolina, or North Carolina, or willing to relocate to one of these eligible states

🏖️ Benefits

• Full-time employment • Remote work arrangement • Mandatory/continuing education and skills competency support • Professional growth and development opportunities • Preceptor, mentor, and resource opportunities

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