Inpatient Coding Auditor
Company: Baylor Scott & White Health
Location: Dallas
Posted on: May 16, 2022
Job Description:
JOB SUMMARY
The Coding Auditor is proficient in various types of coding and is
responsible for performing coding quality audits, providing
feedback to coders, and educating coders. The Coding Auditor
utilizes the International Classification of Disease (ICD-10-CM.
ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS)
including Current Procedural Terminology (CPT) and other coding
references to ensure accurate coding. Coding references will be
used to ensure accurate coding and grouping of classification
assignment (e.g., MS-DRG, APR-DRG, APC etc.) The Coding Auditor
reviews, researches, and processes billing edits. The Coding
Auditor may provide coverage for the Coder positions as needed.
ESSENTIAL FUNCTIONS OF THE ROLE
- Performs routine coding quality reviews on all coders and/or
auditors including third party suppliers as appropriate.
- Performs coding quality reviews in collaboration with or for
internal customers of the organization.
- Provides feedback and education as appropriate depending on
findings.
- Abstracts and validates required data elements into the coding
and abstracting system.
- Reviews, researches, and processes billing edits working
collaboratively with revenue cycle departments to ensure coding and
edits are processed timely and accurately.
- Works collaboratively with the Clinical Documentation
Specialists and Coaches to communicate opportunities for accurate,
complete, and compliant documentation.
- Completes production coding when needed and assigned by one
over.
KEY SUCCESS FACTORS
- Strong knowledge of applicable rules, regulations, policies,
laws and guidelines that impact the coding area.
- Strong knowledge of transaction code sets, HIPAA requirements
and other issues impacting the coding and abstracting
function.
- Strong knowledge of anatomy, physiology, and medical
terminology.
- Demonstrated competency of the use of computer applications,
group software and Correct Coding Initiatives (CCI) edits.
- Strong knowledge of ICD-10 diagnosis and procedural coding and
Current Procedural Terminology (CPT) procedural coding.
- Ability to interpret health record documentation to identify
procedures and services for accurate code assignment.
- Strong interpersonal verbal and written communication
skills.
- Skill in the use of computers.
- Flexibility and adaptability while also balancing requirements
and regulatory and accreditation guidelines that are
non-negotiablesMust possess one of the following certifications and
1 year of the experience should be as a coding auditor:
- Registered Health Information Administrator (RHIA)
- Registered Health Information Technologist (RHIT)
- Certified Coding Specialist (CCS)
- Certified Coding Specialist Physician-based (CCS-P)
- Certified Professional Coder (CPC)
- Certified Outpatient Coder (COC)
- Certified Inpatient Coder (CIC)
- Certified Interventional Radiology Cardiovascular Coder
(CIRCC)
BENEFITS
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1Note: Benefits may vary based upon
position type and/or level
QUALIFICATIONS
- EDUCATION - H.S. Diploma/GED Equivalent
- EXPERIENCE - 5 Years of Experience
Must possess one of the following certifications and 1 year of the
experience should be as a coding auditor
- CERTIFICATION/LICENSE/REGISTRATION -
- Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas
(CCS-P), Cert Inpatient Coder (CIC), Cert Interv Radiology CV Coder
(CIRCC), Cert Outpatient Coder (COC), Cert Professional Coder
(CPC), Reg Health Info Administrator (RHIA), Reg Health Information
Technic (RHIT): One of the following required:
- Cert Professional Coder (CPC)
- Cert Outpatient Coding (COC)
- Cert Inpatient Coder (CIC)
- Cert Coding Spec (CCS)
- Reg Health Info Tech (RHIT)
- Reg Health Info Admin (RHIA) Cert Interventional Radiology
Cardio Coder (CIRCC)
- Cert Coding Spec Phys (CCS-P).
Keywords: Baylor Scott & White Health, Dallas , Inpatient Coding Auditor, Accounting, Auditing , Dallas, Texas
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