Inpatient Coding Auditor

TEKsystems•Annapolis, MD

6d•$36 - $42•Remote

About The Position

JOB SUMMARY The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) ESSENTIAL FUNCTIONS OF THE ROLE • Performs routine coding quality reviews on all coders including third party suppliers as appropriate. • Performs coding quality reviews in collaboration with or for internal customers of the organization. • Provides feedback as appropriate depending on findings. • Abstracts and validates required data elements into the coding and abstracting system. • Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for accurate, complete, and compliant documentation. • Completes production coding when needed and assigned by one over.

Requirements

EDUCATION - H.S. Diploma/GED Equivalent
EXPERIENCE - 5 Years of Experience - Must have understanding of coding guidelines specifically with APR DRG's and MS DRG and how reimbursement works
CERTIFICATION/LICENSE/REGISTRATION - Cert Coding Specialist (CCS) Cert Coding Spec Physician Bas (CCS-P) Cert Inpatient Coder (CIC) Cert Interv Radiology CV Coder (CIRCC) Reg Health Info Administrator (RHIA) Reg Health Information Technic (RHIT)

Responsibilities

Performs routine coding quality reviews on all coders including third party suppliers as appropriate.
Performs coding quality reviews in collaboration with or for internal customers of the organization.
Provides feedback as appropriate depending on findings.
Abstracts and validates required data elements into the coding and abstracting system.
Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for accurate, complete, and compliant documentation.
Completes production coding when needed and assigned by one over.