Coding Compliance Auditor

🔥 11 minutes ago

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Logo of Memorial Hermann Health System

Memorial Hermann Health System

10,000+ employees

⚕️ Healthcare Insurance

🧘 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

• Ensures accuracy and completeness of clinical coding for reimbursement • Conducts regular coding audits and ongoing monitoring of coding accuracy • Develops educational sessions for coding staff • Serves as a resource for coding standards and guidelines • Designs audit tools to monitor coding accuracy • Keeps abreast of coding guidelines and reimbursement reporting requirements • Conducts trend analyses of coding practices • Abides by ethical coding standards

🎯 Requirements

• High school diploma or GED, required • Inpatient - RHIT, RHIA, CCA, CCS, or CIC required • Outpatient - RHIT, RHIA, or relevant Coding Certification(s) required • Four (4) years of relevant hospital coding or auditing experience required • 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 and regulations • Knowledge of database applications and spreadsheet design • Effective oral and written communication skills

🏖️ Benefits

• Health insurance • Retirement plans • Professional development

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