Coding Auditor, Health Information Management

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🔥 9 minutes ago

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Logo of Baptist Health

Baptist Health

10,000+ employees

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

Baptist Health is the region's largest not-for-profit healthcare organization in South Florida. It operates 12 hospitals, more than 29,000 employees, 4,500 physicians, and roughly 200 outpatient centers, urgent care facilities, and physician practices across Miami-Dade, Monroe, Broward, and Palm Beach counties. The system includes renowned centers of excellence in cancer, heart and vascular, brain and spine, and orthopedic care, and is supported by philanthropy and a faith-based mission. Baptist Health emphasizes clinical quality, patient safety, staff development, and community-oriented care.

📋 Description

• Impart continuous education to Coding Staff. • Responsible for complex audits of clinically coded data to assess coding quality for accuracy, completeness, and consistency. • Serve as an expert in Outpatient Prospective Payment System or Inpatient Prospective Payment System. • Independently review coded data quality through ongoing analysis and evaluation of outpatient or inpatient records. • Perform con-current audits on accuracy of APC, ASC or MS-DRGs and quality of medical record documentation needed for accurate coding. • Prepare reports and perform constant tracking and trending of audit results as well as prepare presentations for Coding Staff education. • Work with HIM coding management in preparing education and training for coders, clinical department and/or physicians for documentation improvement. • Create consistency and efficiency in outpatient or inpatient claims processing and data collection to optimize APC, ASC or DRG reimbursement.

🎯 Requirements

• If not CCS or RHIT certified upon hire they must obtain within 2 years. • Prefer Bachelor’s Degree in Health Information Management or equivalent. • Prefer AHIMA approved ICD10CM/PCS trainer. • Proficient in ICD10CM/PCS, CPT4, and HCPCS coding conventions and guidelines, encoder and National and Local Coverage Determinations. • Proficient in MS Word, Excel and PowerPoint. • Minimum Required Experience: 2 Years

🏖️ Benefits

• Career growth and development opportunities, with clear pathways and ongoing support • Comprehensive health and wellness resources that go beyond traditional benefits • A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs • Tuition reimbursement to support continued learning and advancement • And so much more

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