Virtual Coding Auditor Inpatient
About The Position
Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible for validating the coding performed by inpatient or outpatient coders. Random and/or target samples are reviewed, and the results are provided to management and feedback to the individual coder. Assist with educating all coders and Medical Staff members while demonstrating a willingness to educate throughout the organization as needed. Maintains extensive knowledge of all coding standards and effectively communicates with appropriate individuals. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all.
Requirements
- High School Grad or Equiv and two years of coding education (medical coding certificate program, diploma or 2-year HIM program), including medical terminology, anatomy and physiology, and pathophysiology coursework.
- 5 of inpatient hospital coding and/or auditing experience, including cases requiring specialized coding skills, such as cardiovascular surgery, neurosurgery, trauma surgery, neonatology, pediatrics, plastic and reconstruction surgery, bariatric surgery, cardiology, and other services and procedures provided in a tertiary care facility.
- RHIA - Registered Health Information Administrator, RHIT - Registered Health Information Technician, CCS-Certified Coding Specialist, Certified Pension Consultant (CPC) or CIC - Certified in Infection Control Certification
Responsibilities
- Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently.
- May perform pre-bill morality and PSI/HAC reviews.
- May perform Iodine Retrospective reviews in conjunction with the CDI team.
- Provides continuing education to individual coders and the coding staff concerning changes in the coding and reimbursement system and any weakness identified during the coding validation reviews.
Benefits
- Benefits from Day One
- Paid Days Off from Day One
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Ambulatory Health Care Services
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
