About The Position

The Auditor/Educator Inpatient Coding performs internal Inpatient coding audits and coordinates Inpatient coder education in the Health Information Management department. This role involves conducting data quality audits of inpatient encounters to validate coding assignments in compliance with official coding guidelines supported by clinical documentation in health records. The Auditor/Educator is responsible for validating abstracted data elements that are integral to appropriate payment methodology. Additionally, this position prepares and distributes audit results and reports to Coding Management staff, and prepares and presents education to Inpatient coding staff based on audit findings and denials related to Inpatient coding, following ICD-10 Coding Conventions, Official Guidelines for Coding & Reporting, and American Hospital Association Coding Clinic guidance. The Auditor/Educator also assists in the development of programs and procedures to support the improvement of coding accuracy rates.

Requirements

  • Experience in inpatient coding and auditing
  • Knowledge of ICD-10 Coding Conventions
  • Familiarity with Official Guidelines for Coding & Reporting
  • Understanding of American Hospital Association Coding Clinic guidance
  • Strong analytical skills
  • Excellent communication skills

Nice To Haves

  • Certification in coding (e.g., CCS, CPC)
  • Experience in health information management
  • Previous teaching or training experience

Responsibilities

  • Perform internal Inpatient coding audits
  • Coordinate Inpatient coder education
  • Conduct data quality audits of inpatient encounters
  • Validate coding assignments for compliance with official coding guidelines
  • Validate abstracted data elements for payment methodology
  • Prepare and distribute audit results/reports to Coding Management staff
  • Prepare and present education to Inpatient coding staff based on audit findings
  • Assist in the development of programs and procedures to improve coding accuracy rate
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