Inpatient Hospital Coding Auditor, Remote, Baptist Metro Square

Baptist Health System, Inc.

10d • Remote

About The Position

Baptist Health, recognized as a top place to work in healthcare, is seeking a Full-time Inpatient Hospital Coding Auditor to join their Appeals & Denials Department at Baptist Metro Square. This role involves performing retrospective and concurrent Quality Assurance audits of Inpatient encounters to ensure accuracy, compliance, and appropriate MS-DRG and APR-DRG assignment according to Official Coding Guidelines for Coding and Reporting utilizing ICD-10 CM and PCS classification. The auditor will identify educational opportunities, track audits for trending, and provide feedback to Coding Leadership. Auditing will cover both government and commercial payors, including RAC and ACHA. Baptist Health is a locally governed, faith-based, not-for-profit health system with a long-standing reputation as the most preferred healthcare provider in Northeast Florida.

Requirements

• 3-5 Years Auditing Experience
• 3- 5 Years Coding Experience
• 3-5 Years Knowledge of State and Federal Requirements
• Associate of Science Required
• Candidate must reside in the following approved states: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia, Wyoming.

Nice To Haves

• Bachelor of Science (non Nursing) Preferred
• Certified Coding Specialist (CCS) - AHIMA
• Registered Health Information Technician - AHIMA
• Registered Health Information Administrator - AHIMA

Responsibilities

• Performing inpatient coding audits (DRG) related to payer audits.
• Auditing prior billed codes to ensure clinically validated Accurate coding based on established guidelines
• Performing coding updates in both legacy and EPIC environments as applicable
• Identifying audit trends and providing insights and education to Clinical Denials Audit and Analysis and Clinical Documentation Integrity leadership.
• Auditing will include scope of both government and commercial payors including but not limited to RAC, AHCA, and commercial DRG Audits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree