Coding Quality Audit Inpatient Coordinator
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. The position involves auditing and educating across all inpatient services of a large health system, including critical access, community, and academic hospitals. Audit findings will be analyzed to identify risk areas and develop educational materials, which may include individual coder development plans, regulatory updates, or "for cause" education. BJC HealthCare is one of the largest nonprofit health care organizations in the United States, serving primarily the greater St. Louis, southern Illinois, and southeast Missouri regions. With substantial net revenues and a large workforce, BJC operates 14 hospitals and numerous community health locations, offering a wide range of inpatient and outpatient services. The organization is a significant provider of charity care and community benefits in Missouri, demonstrating a commitment to patient care regardless of ability to pay and investing in research, emergency preparedness, and community health programs. BJC's affiliation with Washington University School of Medicine provides patients access to the latest medical advances.
Requirements
- 2-5 years of Inpatient Coding in a hospital environment.
- RHIT, RHIA, or CCS certification.
- High School Diploma or GED
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, vision, 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
