Inpatient Coding Education Auditor- CCS
About The Position
Under the direction of the Coordinator, Inpatient Education & Audits, the Coding Education Auditor, Inpatient will be responsible for assisting with developing all education and coding quality improvement initiatives for the Inpatient Coding Division at JHHS. The Coding Education Auditor, Inpatient is responsible for analyzing, reviewing, and resolving coding and documentation issues that are related to reimbursement, compliance, and revenue enhancement. The Auditor will perform focused second level coding quality reviews, as needed, to support improving coding quality for each inpatient Coding Specialist. The Auditor will document relevant trends of inaccurate coding and areas that are high risk for compliance issues to the Coordinator. The Auditor is responsible for offering recommendations for improvement to maintain a minimum of 95% coding quality across the JHHS enterprise. The Auditor will utilize the nThrive DNA learning management system to assist with coding education and skill development. This individual will assist with conducting investigation and research of existing policies, guidelines and precedent cases in publications such as Federal Register, AHA Coding Clinic, and AHIMA Journal to support internal policy development. Additional research will include AHRQ, RAC SOW, OIG Coding Compliance Plan and Correct Coding Initiative Guidelines to determine JHHS internal focused audits plan for the fiscal year. The Auditor will assist with special projects assigned by the Coordinator, Inpatient Education & audits.
Requirements
- Associate’s degree in Health Information Management or health-care related field with required credentials, or work experience equivalent to two years of HIM inpatient coding experience, for one year of education experience, i.e. 4 years.
- Requires Certified Coding Specialist (CCS) certification.
- Candidate will be required to pass AHIMA approved inpatient Coding Specialist IV assessment prior to hire.
- Requires minimum of 5 years inpatient coding experience required.
Nice To Haves
- RHIT or RHIA credentials preferred.
- 1 year of education, training and auditing experience preferred.
Responsibilities
- Assisting with developing all education and coding quality improvement initiatives for the Inpatient Coding Division at JHHS.
- Analyzing, reviewing, and resolving coding and documentation issues that are related to reimbursement, compliance, and revenue enhancement.
- Performing focused second level coding quality reviews, as needed, to support improving coding quality for each inpatient Coding Specialist.
- Documenting relevant trends of inaccurate coding and areas that are high risk for compliance issues to the Coordinator.
- Offering recommendations for improvement to maintain a minimum of 95% coding quality across the JHHS enterprise.
- Utilizing the nThrive DNA learning management system to assist with coding education and skill development.
- Conducting investigation and research of existing policies, guidelines and precedent cases in publications such as Federal Register, AHA Coding Clinic, and AHIMA Journal to support internal policy development.
- Additional research will include AHRQ, RAC SOW, OIG Coding Compliance Plan and Correct Coding Initiative Guidelines to determine JHHS internal focused audits plan for the fiscal year.
- Assisting with special projects assigned by the Coordinator, Inpatient Education & audits.
Benefits
- Career growth and development
- Employee and Dependent Tuition Assistance
- Diverse and collaborative working environment
- Affordable and comprehensive benefits package
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
