Coding Quality Audit Inpatient Coordinator

BJC HealthCare • St. Louis, MO

1d • Remote

About The Position

BJC HealthCare is seeking a Coding Quality Audit Inpatient Coordinator to join their team. This role is responsible for second-level coding audits and real-time education to support ongoing quality assurance activities for the Coding Department. The audits will assess compliance with federal and state regulatory coding guidelines, focusing on the appropriate assignment of all diagnoses, procedures, and DRGs to ensure accurate coding for reimbursement and clinical services. This includes Quality Measures, Severity of Illness, and Risk of Mortality. The auditing and education will cover all inpatient services across a large health system, including critical access, community, and academic hospitals (pediatric and adult). Audit findings will be analyzed to identify risk areas and develop educational materials, which may include individualized coder development plans, regulatory updates, or for-cause education. The coordinator will serve as a subject matter expert and decision support for Enterprise Coding, actively participating in committees and project teams to resolve issues and improve processes. They will proactively identify and report issues or trends to Coding Leadership. The role requires completing timely and accurate quality assurance coding audits in accordance with IPPS using ICD-10-CM and ICD-10 PCS Coding Classification Systems, adhering to federal, state, and payer guidelines. Audit results will be translated into practical recommendations for improving audit policies and procedures. Additionally, the coordinator will develop and deliver focused coding education, training plans, and tools to address risk areas, regulatory updates, and continuous improvement opportunities. Building and maintaining collaborative relationships with intradepartmental teams, CDI, Quality, Compliance, Revenue Management, providers, and other departments is also a key aspect of this role.

Requirements

• High School Diploma or GED
• 2-5 years of Inpatient Coding in a hospital environment
• RHIT, RHIA, or CCS certification

Nice To Haves

• Associate's Degree
• Bachelor's Degree
• 5-10 years of experience
• Supervisor Experience

Responsibilities

• Serves as subject matter and decision support experts for Enterprise Coding.
• Actively participates in committees, project teams and other meetings to support issue resolution, process improvement and process development.
• Proactively identifies issues or trends and reports to Coding Leadership as appropriate.
• Completes timely and accurate quality assurance coding audits in accordance with IPPS using ICD-10-CM and ICD-10 PCS Coding Classification Systems.
• Adheres to federal and state regulatory and payer guidelines.
• Translates quality auditing results into practical and actionable recommendations for improvements in further standardizing audit policies and procedures.
• Develops and delivers focused coding education, training plans and tools to address areas at risk, regulatory updates, and continuous opportunities for improving coding and compliance outcomes.
• Builds and maintains collaborative relationships intradepartmentally as well as with CDI, Quality, Compliance, Revenue Management, providers and other departments as appropriate.

Benefits

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED