Coding Auditor - Hospital Inpatient Compliance Edits (0.5 D)
Franciscan Alliance, Inc.
Work From Home Work From Home Work From Home, Indiana 46544 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. WHO WE ARE 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. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
- ...Responsible for auditing coded inpatient or outpatient... ...are rejected by edits from the Revenue Cycle... ...and assesses for compliance with AHIMA query... ...inpatient coding auditor, three (3) years of... ...Information: For Hospital Coding: Registered... ...40% Climbing = 0% Keyboard Entry...SuggestedWork experience placementInternshipWork at officeRemote workShift work
$58k - $114.9k
...Title Remote MSDRG Auditor Category... ...CGI Healthcare Compliance, DRG Validation... ...the accuracy of coding and reimbursement... ...Responsibilities Review inpatient medical records... ...status codes, Hospital Acquired... ...input to the Edit Development team... ...Minimum five (5) years of inpatient...SuggestedPermanent employmentFull timeWork at officeLocal areaRemote work$71.1k - $97.8k
...help us put health first The Inpatient Medical Coding Auditor extracts clinical... ...auditor to review inpatient hospital claims for proper reimbursement... ...Monday-Friday, 8 hours/day, 5 days/week, scheduled between... ...take affirmative action, in compliance with Section 503 of the...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...Job Description The Auditor/Educator Inpatient Coding performs internal Inpatient... ...coding assignments is in compliance with the official coding guidelines... ...& Reporting, and American Hospital Association Coding Clinic... ...Minimum of five (5) years of hospital Inpatient...SuggestedFull timeWork at officeRemote work
$80k - $90k
...Clinical Appeals Auditor (RN) is... ...and suggests any edits to documentation... ...harassment and other compliance and policy/... .../ICD-10/MS-DRG coding may be necessary... ...direct care in an inpatient or outpatient... ...At least 5+ years relevant... ...Insurance Company or hospital or other...SuggestedFor contractorsImmediate startRemote workWork from homeHome officeFlexible hoursShift work- ...This annual award recognizes hospitals and health systems... ...be doing in this role? The Coding Auditor works under the general direction... ...collection points. Auditors evaluate compliance with all coding guidelines... ...upon hire. Facility inpatient surgical claims experience highly...Local areaRemote work
- ...completeness of clinical coding resulting in the... ...reports to the Coding Compliance Manager. Job Description... .../Certifications : Inpatient - Registered Health Information... ...(4) years of relevant hospital coding or auditing... ...and resolving coding edits. Working...Remote work
$33.36 - $46.7 per hour
...delivering 25 percent of all hospital care in urban, suburban and rural... ...~ Accurately audits hospital Inpatient, Ambulatory Surgery,... ...reimbursement, research and compliance with federal and state regulations... ...to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding...Work experience placementWork at office- ...Cycle Clinical Nurse Auditor The Revenue... ...with clinical teams, compliance and other departments... ...revenue guardian edits within the Epic billing... ...across clinic, hospital and ancillary departments... ...Align with CDI, Coding and CBO/Revenue... ...college or university ~5+ years of...Local area
- ...Medical Coding Specialist Dallas, TX 8hr shift M-F Looking for someone with outpatient or inpatient hospital coding compliance or coding auditing experience. CPC or CCS certification. Assign, sequence, validate, and edit codes for multi-specialty professional outpatient...Shift work
$29.36 - $47.79 per hour
...Rush Medical Center Hospital: Rush University Medical... ...(Total FTE between 0.9 and 1.0) Shift: Shift... ...: The Billing Coding Auditor uses advanced knowledge... ...working advanced code edits as well as auditing charges... ...experience • Minimum of 5 years of healthcare...Hourly payFull timeShift work$35 - $45 per hour
...A leading health data exchange company is seeking an Inpatient Auditing Specialist to conduct coding audits and provide education to coders. This fully remote role offers flexible scheduling and requires 3-5 years of auditing experience. The ideal candidate will have a...Hourly payRemote workFlexible hours$39.31 per hour
...Description Reporting to the Manager, Compliance Audit and Analysis, develops and... ...audit, monitoring, and education for inpatient hospital billing, coding and documentation programs that ensure... ...Medium, Max 25 lbs.: up to 25 lbs., 0¿33% of the workday, occasionally; 11...Hourly payFull timeWork at officeLocal areaFlexible hoursShift work$26.29 - $48.91 per hour
...Florida Postal Code: 32803 Job Description... ...with regulatory compliance. Prepares... ...days of discharge and hospital coding days within... ...Understanding of code edits - Experience with... ...Exhaustive knowledge of inpatient coding and working... ...Experience: • 5+ years of inpatient...Full timeWork experience placementWork at officeLocal areaRemote workShift work- A healthcare data solutions company is seeking an Inpatient Auditing Specialist to perform audits and provide coder education. This fully remote role requires 3-5 years of coding experience and offers a flexible schedule. Ideal candidates will possess a degree from an...Remote workFlexible hours
- ...'s Joint Office for Compliance is seeking a Compliance Risk Auditor to perform professional and hospital risk audits while adhering... ...to UI Health Care's coding/billing and... ...coding experience (inpatient, outpatient, professional... .... ~ Up to 5 professional references...Work at officeRemote work
- ...A healthcare technology firm is seeking an Inpatient Auditing Specialist to conduct coding audits and provide education on coding standards. This fully remote role allows for flexible scheduling and requires 3-5 years of experience in a Trauma Level 1 facility. Ideal candidates...Remote workFlexible hours
- ...health data exchange leader is seeking an Inpatient Auditing Specialist to perform coding audits, provide coder education, and ensure regulatory compliance. This fully remote position allows for... ..., catering to professionals with over 5 years of inpatient coding experience....Remote workFlexible hours
- ...Clinical Coding Audit Specialist, Him Miami... ...Jackson Memorial Hospital, River Landing... ...integrity, and regulatory compliance of Diagnosis... ...regulations, OCE/MCE edits, and LCD/NCD... ...internal audits of inpatient coding and DRG assignments... ...requires 5 to 7 years of related...Full time
- ...educational needs of coding specialists and... ...concentration on hospital inpatient procedures, ambulatory... ...adheres to: TRHS' compliance standards as they... ...and billing edits. EDUCATION: *... ...Professional Medical Auditor OTHER INFORMATION... ...and/or five (5) years' inpatient...Full timeFor contractorsWork at officeLocal areaShift work
- ...Credit Service is hiring an experienced Inpatient Medical Coding Auditor to perform audits of acute inpatient... ...role ensures coding accuracy and compliance with coding guidelines, while providing... ...AHIMA or AAPC certification and have 3-5 years of auditing experience. This...Full timeRemote work
- ...assignment of ICD-10, CPT and/or HCPCS codes to hospital inpatient, outpatient and/or physician practice... ...second‑level review of processes to ensure compliance with legal and procedural policies and... ...of accuracy and attention to detail. 5+ years’ experience coding and/or...Work at officeRemote workMonday to Friday
- Optum is seeking an Auditor responsible for regulatory compliance audits, ensuring adherence to laws and regulations... ...risks, and providing feedback to the coding team. Candidates should have 5+ years of auditing experience in inpatient settings and a deep knowledge of...Remote job
$144k
...health records in the hospital setting, and/or... ...centers. These coding practitioners analyze... ...the VAMC. Timely compliance with coding changes... ...federal pension (5 years vesting) and... ...(COC), Certified Inpatient Coder (CIC). May qualify... ..., resolve encoder edits, and ensure codes...Permanent employmentFull timeWork experience placementSeasonal workRemote workTrial periodMonday to Friday- ...Medical Coder and Auditor ProSidian... ...Sustainability, Compliance, Business... ...provide health coding services to a branch... ...utilizing system edits, Military... ...audit office and hospital procedures for... ...the following: inpatient, ambulatory surgery... ...the past five (5) years, Must...Full timeContract workWork at office
$35 - $45 per hour
...transformative change in healthcare. Inpatient Auditing Specialist You will be instrumental... ...and educational needs related to coding quality, compliance assessments, external payer reviews,... ...with co-workers, management, and hospital staff regarding clinical and reimbursement...Hourly payFull timeInterim roleReliefRemote workFlexible hours- ...Omega Internal Auditor Job Description... ...the Manager, Compliance and Quality... ...perform reviews of inpatient and outpatient... ...medical records for coding accuracy and... ...Diseases, 10th Edition, Clinical... ..., the American Hospital Association (AHA... ..., 8:00 a.m. to 5:00 p.m. This position...Full timeWork at officeRemote workHome officeMonday to FridayWeekend work
- ...A leading health services company is seeking an Inpatient Medical Coding Auditor to review hospital claims. This remote position requires expertise in medical coding, specifically MS-DRG. The ideal candidate will hold a relevant certification with at least four years of...Remote workFlexible hours
$30.6 - $48.8 per hour
...California. In May 1969, we acquired four hospitals, some additional care facilities and... ..., every day. Job Summary The Inpatient Coding Auditor , within the Department of Coding/... ..., plays a crucial role in ensuring compliance with coding guidelines, regulations,...Hourly payRemote workRelocation packageFlexible hours- ...Shift End Time Certified Coding Specialist--Physician-based (... ...established by SHC Corporate Compliance in accordance to the CMS and... ...Provides support with TES/CM edit resolution at assigned sites... ...guidelines are followed.Evaluates the inpatient and outpatient training and...Hourly payFor contractorsWork experience placementLocal areaFlexible hoursShift workWeekend work
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