Coding Compliance Auditor

🔥 11 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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Memorial Hermann Health System

WebsiteLinkedInAll Job Openings

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

• Ensuring the accuracy and completeness of clinical coding resulting in appropriate reimbursement and data integrity. • Conducts regular coding audits and coordinates ongoing monitoring of coding accuracy. • Develops and coordinates educational sessions to all 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.

🎯 Requirements

• High school diploma or GED required • Inpatient - Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required. • Outpatient - Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or relevant Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) 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 and policies pertaining to documentation, coding, and billing. • Knowledge of database applications and spreadsheet design. • Effective oral and written communication skills.

🏖️ Benefits

• Health insurance • Professional development opportunities