Coding Auditor - Hospital Inpatient (1.0 D)

Franciscan Alliance, Inc.

2d • $51,002 - $75,868 • Remote

About The Position

The Inpatient Hospital Coding Auditor conducts coding audits specific to ICD10CM and PCS; As well as validating the accuracy of the MS DRG or APR DRG assignment to ensure compliance with reimbursement methodologies, quality standards, and official coding guidelines. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Review, research, and respond to coding inquiries from other Franciscan departments. Integrate current industry changes into a clinical audit practice setting. Act as a subject matter expert regarding payer reimbursement methodologies and official coding guidelines. Assist Coding Supervisor with reviewing and responding to external coding audits. Perform quality reviews to ensure compliance with payer reimbursement methodologies and official coding guidelines. Provide audit results and trends to the Coding Education Specialists for education development and training. Summarize quality review results for Coding Managers, Supervisors, Coding Education Specialists, and coding staff.

Requirements

• Associate's Degree, Health Information Management or related field - Required
• Required High School Diploma/GED With 5 years of Franciscan coding experience in lieu of degree - Required
• 5 years Coding Experience relevant to auditing specialty with RHIT/RHIA - Required
• 5 years Franciscan coding experience relevant to the auditing specialty with CCS - Required
• Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - Required

Nice To Haves

• 2 years Coding Support role with RHIT/RHIA - Preferred
• Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Preferred
• Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - Preferred

Responsibilities

• Review, research, and respond to coding inquiries from other Franciscan departments.
• Integrate current industry changes into a clinical audit practice setting.
• Act as a subject matter expert regarding payer reimbursement methodologies and official coding guidelines.
• Assist Coding Supervisor with reviewing and responding to external coding audits.
• Perform quality reviews to ensure compliance with payer reimbursement methodologies and official coding guidelines.
• Provide audit results and trends to the Coding Education Specialists for education development and training.
• Summarize quality review results for Coding Managers, Supervisors, Coding Education Specialists, and coding staff.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 1-10 employees