Inpatient Medical Coding Auditor
About The Position
The Inpatient Medical Coding Auditor - PPI Coding Disputes reports to the Manager and reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. This role requires an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG). The auditor ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. The position leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices, manages multiple priorities, collaborates with peers, and ensures timely completion of inpatient coding disputes.
Requirements
- RHIA, RHIT or CCS Certification (have held at least one of these qualifications for 4 years)
- MS-DRG coding/auditing experience
- 3+ years' experience performing inpatient coding reviews/ audits in health insurance and/or hospital settings
- Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel
- Can work independently and determine appropriate course of action
- Excellent communication skills both written and verbal
- Self-provided internet service with at minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Nice To Haves
- Associate's Degree or higher in Health Information Management (HIM)
- Experience in APR DRG coding/auditing
- Experience in Financial Recovery
- Experience in a fast paced, metric driven operational setting
Responsibilities
- Reviews appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records.
- Consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality.
- Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines.
- Communicates disputes outcomes to providers in a professional and concise manner.
- Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices.
- Manages multiple priorities, collaborates with peers and ensures timely completion of inpatient coding disputes.
Benefits
- Health benefits effective day 1
- Paid time off, holidays, volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
- medical, dental and vision benefits
- short-term and long-term disability
- life insurance
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
