Inpatient Coding Data Quality AuditorEducator
Inpatient Coding Data Quality AuditorEducator
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Job Description
Responsibilities
The primary purpose of the Inpatient Coding Data Quality Auditor/Educator is to ensure the consistent processing of claims and collection of data to optimize DRG reimbursement and produce quality data that accurately reflects the severity and intensity of hospital inpatient services. Audits inpatient coded records provides continuing education of all inpatient coding staff and facilitates the inpatient coding work flow.
Qualifications
Bachelors Degree in Health Information Management or a related field required. RHIA or RHIT certified preferred. CCS required. If not CCS certified must obtain the CCS certification from AHIMA within sixty 60 days of the date of hire or within sixty 60 days of the next available exam. Minimum of three 3 years of hospital inpatient coding experience in ICD9 and ICD10 diagnosis and procedure coding and DRG assignment preferably in a tertiary care teaching environment with complex surgical transplant trauma neurosurgery Ob/Gyn and neonatology services. Knowledge of medical terminology anatomy and physiology disease processes Coding Clinic POA query guidelines required. Knowledge of CMS Medicaid and thirdparty payer coding billing and compliance regulations required. Experience and/or use of an encoder (Clintegrity 360 and Epic electronic health record preferred. Must have the ability to balance multiple and changing priorities. Must be able to read write and speak English and possess excellent verbal and written communication skills. Must be detail oriented accurate organized and work well independently. Must have a working knowledge of computers and be able to navigate the internet. Must be proficient in Microsoft Office especially with the use of Excel Outlook and shared files as daily tools. Additional related experience may be substituted for the degree requirement on a yearforyear basis.
Employment Type
Full-Time
