Inpatient Facility Coding Audit Specialist

Irving, TX - USA

Monthly Salary: Not Disclosed

Posted on: 7 hours ago

Vacancies: 1 Vacancy

Job Summary

Under minimal supervision and according to established policies and procedures conducts retrospective inpatient coding quality review audits in compliance with the coding compliance plan and established standards. Supports the review activities that drive hospital revenue including revenue cycle initiatives internal audit plan reimbursement audits and data quality. Key support for the coding areas and staff.

Duties and Responsibilities:
Essential Functions:
q Performs coding quality audits and reports results for accurate ICD-10-CM and ICD-10-PCS coding of the principal diagnosis secondary diagnosis principal and secondary procedures present on admission (POA) indicators and DRG assignment.
q Identifies missed query opportunities for complete and accurate revenue within the federal state and payer specific regulations and coding policies.
q Conducts quality review of medical record abstracting and appropriate discharge disposition selection to ensure revenue integrity and data quality
q Provides analysis and trending of coding quality and opportunities; Interprets coding data to identify quality concerns trends and root causes related to denials.
q Ensures compliance with coding standards and government regulations.
q Maintains knowledge of coding and billing requirements and regulatory changes.

Skills and Abilities Required:
q Analytical ability to gather and interpret data to evaluate reports and track progress of initiatives and to determine methods for ensuring revenue integrity and coding compliance
q High degree of interpersonal skills to effectively communicate with internal and external customers including physicians clinicians management and coding staff
q In-depth technical knowledge of ICD-10-CM/ICD-10-PCS guidelines/coding clinics CPT coding conventions DRG and APC assignment medical terminology anatomy and disease processes.
q Proficiency with Microsoft office suite (Excel Word PowerPoint Outlook).
q Excellent time management skills; organized; ability to prioritize completing multiple tasks on schedule in a deadline driven environment.
q Ability to interact with internal and external customers in a professional manner.
q Ability to ramp up on a clients environment processes historical context and systems to provide support to an engagement as soon as possible.

Education Experience & Licensure:
2 years previous experience as an inpatient coding auditor
3 years previous experience in coding inpatient hospital account

Required Skills:

inpatient coding auditorCCSRHIT/RHIA

Under minimal supervision and according to established policies and procedures conducts retrospective inpatient coding quality review audits in compliance with the coding compliance plan and established standards. Supports the review activities that drive hospital revenue including revenue cycle in...

Under minimal supervision and according to established policies and procedures conducts retrospective inpatient coding quality review audits in compliance with the coding compliance plan and established standards. Supports the review activities that drive hospital revenue including revenue cycle initiatives internal audit plan reimbursement audits and data quality. Key support for the coding areas and staff.

Duties and Responsibilities:
Essential Functions:
q Performs coding quality audits and reports results for accurate ICD-10-CM and ICD-10-PCS coding of the principal diagnosis secondary diagnosis principal and secondary procedures present on admission (POA) indicators and DRG assignment.
q Identifies missed query opportunities for complete and accurate revenue within the federal state and payer specific regulations and coding policies.
q Conducts quality review of medical record abstracting and appropriate discharge disposition selection to ensure revenue integrity and data quality
q Provides analysis and trending of coding quality and opportunities; Interprets coding data to identify quality concerns trends and root causes related to denials.
q Ensures compliance with coding standards and government regulations.
q Maintains knowledge of coding and billing requirements and regulatory changes.

Skills and Abilities Required:
q Analytical ability to gather and interpret data to evaluate reports and track progress of initiatives and to determine methods for ensuring revenue integrity and coding compliance
q High degree of interpersonal skills to effectively communicate with internal and external customers including physicians clinicians management and coding staff
q In-depth technical knowledge of ICD-10-CM/ICD-10-PCS guidelines/coding clinics CPT coding conventions DRG and APC assignment medical terminology anatomy and disease processes.
q Proficiency with Microsoft office suite (Excel Word PowerPoint Outlook).
q Excellent time management skills; organized; ability to prioritize completing multiple tasks on schedule in a deadline driven environment.
q Ability to interact with internal and external customers in a professional manner.
q Ability to ramp up on a clients environment processes historical context and systems to provide support to an engagement as soon as possible.

Education Experience & Licensure:
2 years previous experience as an inpatient coding auditor
3 years previous experience in coding inpatient hospital account