Coding Compliance Auditor

🔥 13 hours ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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Memorial Hermann Health System

WebsiteLinkedInAll Job Openings

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

• Conduct regular coding audits and coordinate ongoing monitoring of coding accuracy • Provide continuous feedback to coding staff • Develop and coordinate educational sessions for coding staff regarding 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 safe care for patients, staff, and visitors • Meet Memorial Hermann policies, procedures, standards, productivity, quality, and budgetary requirements • Promote professional growth and development through mandatory/continuing education and skills competency • Support department-based goals and serve as preceptor, mentor, and resource to less experienced staff • Create compassionate and personalized experiences for community members, patients, and colleagues • Perform other duties as assigned

🎯 Requirements

• High school diploma or GED required • Inpatient: RHIT, RHIA, CCA, CCS, or CIC coding certification from AHIMA or AAPC required • Outpatient: RHIT, RHIA, or relevant coding certification from AHIMA or AAPC required • Four (4) years of relevant hospital coding or auditing experience required • Experience coding/auditing in a level 1 trauma facility or 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 • Knowledge and skills necessary to provide care appropriate to the patient served • Knowledge of principles of growth and development as related to different life cycles

🏖️ Benefits

• Mandatory/continuing education and skills competency requirements • Professional growth and development opportunities • Preceptor, mentor, and resource opportunities • Employee-focused support and care • Safe, caring, personalized, and efficient workplace experiences