Coding Auditor, Education Advisor

🕒 October 8

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 15%

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Phoebe Putney Health System

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1911

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Phoebe Putney Health System is southwest Georgia’s preferred healthcare provider, dedicated to improving the community's health through a skilled and collaborative team of professionals. It offers opportunities in various healthcare roles, promoting career growth and the possibility for diverse healthcare career paths. The system emphasizes a friendly, inclusive workplace culture and is committed to equity in hiring practices, striving to reflect the communities it serves while delivering high-quality medical services.

📋 Description

• Audit facility-based inpatient medical record documentation and coding • Determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, reporting, and compliance • Review DRG assignments and coding accuracy • Educate physicians and clinical personnel to improve documentation completeness • Query physicians to resolve incomplete or conflicting information • Educate and train coders on coding and reimbursement guidelines • Support successful career ladder completion • Develop training materials and reference documents • Research audit results, error reports, and denials • Resolve issues through appeals, staff education, and correction of discrepancies • Maintain current knowledge through self-education and ongoing educational programs • Attend staff meetings and complete mandatory in-services and competency evaluations • Perform additional duties according to departmental policies and procedures

🎯 Requirements

• Experienced Acute Inpatient Coding Auditor with recent acute care hospital experience • Bachelor's degree in Health Information Management or related medical degree; an Associate Degree and a minimum of 4 years additional relevant experience may substitute • 4–5 years of experience with ICD-9, ICD-10, and HCPCS coding, including hospital inpatient medical records • 4–5 years of extensive knowledge of medical terminology, pathophysiology, and pharmacology • 4–5 years of experience calculating and analyzing MS-DRG, DRG, APC, and other payer reimbursement methodologies • Certified Coding Specialist (CCS) certification required • Knowledge of Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy • Organizational, communication, interpersonal, customer relations, mathematical, analytical, grammar, and spelling skills • Ability to read and comprehend written instructions and follow verbal instructions • Basic computer skills and Microsoft Office Suite proficiency • General clerical skills • Near-normal vision and ability to distinguish colors • Ability to perform repetitive tasks and motions

🏖️ Benefits

• Remote work arrangement in Georgia • First shift schedule • Ongoing educational programs and self-education opportunities • Staff meetings, mandatory in-services, and competency evaluations • Career ladder completion support • Training and reference materials development opportunities

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