Inpatient Coding Auditor

🔥 14 hours ago

🌪️ Kansas, Oklahoma, +2 more states – Remote

🌪️ Kansas – Remote 🌪️ Oklahoma – Remote 🏰 Missouri – Remote 🤠 Texas – Remote

⏰ Full Time

🟢 Junior

🔎 Auditor

🚫👨‍🎓 No degree required

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OU Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

OU Health is a comprehensive healthcare provider offering a wide range of medical services including pediatric care, cancer care, diabetes care, emergency care, and specialized services for adults and children. Located in Oklahoma, OU Health operates multiple facilities such as the Oklahoma Children's Hospital and the Stephenson Cancer Center. Known for its advanced scientific research and quality care, the organization prides itself on being recognized for excellence in areas like pediatric cardiology and heart surgery. As part of its commitment to medical excellence, OU Health also focuses on medical education and research, helping to train the next generation of healthcare professionals.

📋 Description

• Ensure accurate, quality, and compliant inpatient facility coding through prebill and retrospective audits • Provide targeted education to improve consistency and documentation quality • Perform routine monthly, focused pre-bill, CDI reconciliation, and second-level review queue coding quality reviews across OUH • Perform peer-to-peer auditor reviews • Communicate with teams and departments to resolve account review and code/DRG validation issues • Respond to coding-related questions from internal and external coding staff • Initiate rebilling processes as required by policy on special projects • Trial auditing-team tip sheets and training and provide constructive feedback • Maintain or exceed productivity and accuracy standards • Review official data quality standards, coding guidelines, policies, procedures, and clinical/medical resources • Perform other duties as assigned

🎯 Requirements

• Candidates must reside and work full-time in Arkansas, Kansas, Missouri, Oklahoma, or Texas before their first day of employment • High School diploma or GED required for Level 1 • At least 1 year of Inpatient Facility Coding Auditing or DRG Validation and at least 5 years of Inpatient facility coding required for Level 1 • At least 3 years of Inpatient Facility Coding Auditing or DRG Validation, including at least 2 years of coding at an Academic Health Center, required for Level 2 • Associate's degree required for Level 3 • At least 5 years of experience in Inpatient Facility Coding Auditing at an Academic Health Center required for Level 3 • RHIA, RHIT, CCS, CPC, or CIC required • HFMA CRCR required within 6 months of hire for Level 3 • Must meet all educational requirements stated in current Company policy • Must maintain current knowledge of official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources

🏖️ Benefits

• Competitive wages and total rewards package • Paid time off (PTO) • 401(k) • Medical plan • Dental plan • Comprehensive benefits and compensation package