Coding Auditor Hospital Inpatient Compliance Edits

Coding Auditor Hospital Inpatient Compliance Edits

Good learners. Accurate reviewers. Our coding auditors are an important part of the health information team. Ensuring development and implementation of coding strategies across the system is a big part of the job. The other part? Being able to follow state and federal compliance regulations. Policy and procedure development, standardization of coding operations, analyzing coding quality and performing chart reviews. This job has it all.

With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.

What You Can Expect

• Collaborates with coding leadership and peers in the development and/or implementation of audit/monitoring plans.
• Evaluates prebill hospital inpatient coding compliance edits to ensure compliance with payer reimbursement methodologies and official coding guidelines.
• Summarizes quality review results for Coding Managers, Supervisors, Coding Educator, and coding staff.
• Participates in team meetings with coding personnel when necessary to discuss coding findings.
• Act as a subject matter expert regarding payer reimbursement methodologies and official coding guidelines.
• Provides details specific to audit trends to the Coding Educator for preparation of ongoing education.
• Notifies coding leadership of trends and topics for education and feedback to coders, physicians, and departments.

Qualifications

• Associate's or Bachelor's Degree in Health Information Management - Preferred
• High School Diploma/GED - Required
• 5 years Coding Experience relevant to auditing specialty with CCS - Required
• Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - Required
• Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - Preferred
• Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Preferred

Travel is required: Never or Rarely

Job Range: Coding Auditor Hospital Inpatient Compliance Edits $48838.40-$72664.80

Incentive: Not Applicable

Equal Opportunity Employer

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity.