Coding Services Auditor

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Wellstar Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1992

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Wellstar Health System is a comprehensive healthcare organization dedicated to providing personalized and compassionate care to patients in Georgia and South Carolina. With a diverse range of career opportunities, Wellstar supports its employees' career growth and wellbeing through a positive culture, excellent benefits, and a focus on diversity, equity, and inclusion. The organization emphasizes the importance of treating both patients and staff with respect and care, making it a sought-after workplace in the healthcare industry. Wellstar is committed to offering high-quality healthcare services and maintaining strong community engagement.

📋 Description

• Conduct prebill and retrospective coding reviews • Perform focused reviews, mortality reviews, PSI reviews, and coder-focused audits • Validate DRGs, ICD-10-CM/PCS codes, POA indicators, abstracting elements, and clinical documentation • Identify query opportunities affecting DRG, severity of illness, and risk of mortality scores • Use Vizient to identify potential opportunities during chart reviews • Ensure audits comply with current coding guidelines and regulatory standards • Identify documentation, coding, and reimbursement issues and report them to leadership • Participate in team meetings as a coding subject matter expert • Discuss audit trends and suggest continual process improvements • Collect and record audit data in Cloudmed, EPIC, Institutional Audit Manager, spreadsheets, and other software • Follow verbal and written processes and leadership assignments • Communicate outstanding impacts and incomplete work to leadership • Assist with onboarding new staff • Provide feedback to coding staff, leadership, and CDI on coding and documentation opportunities • Serve as a subject matter expert for second-opinion requests and internal/external customer requests • Participate in team meetings and process-improvement plans • Review and communicate CMS, state, official coding, Coding Clinic, and other coding updates • Assign ICD-10-CM/PCS and/or CPT/HCPCS codes and abstract required data • Meet accuracy and productivity standards • Query physicians to clarify code assignments when needed • Comply with Wellstar Health System policies, standards of work, and code of conduct

🎯 Requirements

• High School Diploma • Three (3) years of hospital-based inpatient services coding experience currently meeting accuracy in abstracting, coding and DRG assignment while meeting productivity requirements, or passing score on the coding assessment provided by Coding department, if applicable • Previous auditing in an acute care setting or lead experience highly preferred • CCS, RHIA, RHIT, or CPC certification preferred upon hire • Articulate with critical thinking skills • Extensive knowledge of medical terminology, disease processes, pharmacology, anatomy and physiology • Competent or ability to learn Microsoft, 3M360, Epic EMR, auditing software • Ability to follow coding/compliance guidelines, regulatory standards, Wellstar policies and procedures • Ability to meet minimum accuracy and productivity standards • Ability to set priorities and manage assignments • Ability to document detailed data accurately in audit software

🏖️ Benefits

• Support to do more meaningful work • More rewarding life • Opportunity to work with the most integrated health system in Georgia