Steward Health - Corporate

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HIM Inpatient Coding Auditor

at Steward Health - Corporate

Posted: 5/8/2020
Job Status: Full Time
Job Reference #: 18950
Keywords: billing

Job Description

Location: Corporate
Posted Date: 12/20/2019

Position Summary:‹‹‹‹‹

Conducts inpatient coding quality audits to validate code assignment is supported by clinical documentation in the medical record. Highly proficient in the proper assignment of ICD-10-CM and PCS codes.

Requirements:

  1. Education: Associates degree in Health Information (RHIT), or associates degree in applicable healthcare field.
  2. Experience 3-5 years progressive coding experience in acute care hospital setting, including auditing
  3. Certification/Licensure: AHIMA certification required, such as RHIA, RHIT or CCS,
  4. Software/Hardware: Meditech and 3M 360 experience required
  5. Other: Required to work out of Steward Health Care office located in Richardson, Texas.
  6. Travel: Expected travel is up to 10%. Education and/or company growth.

Key responsibilities:

  • Performs coding audits of a wide variety of complex inpatient records to validate the ICD-10-CM, PCS codes, MS-DRG and/or APR DRG assignments.
  • Provides written, detailed rationale and supporting evidence for recommendations on audit findings.
  • Delivers educational feedback to coding staff regarding audit findings.
  • Provides guidance to coding staff and management in identifying and resolving coding issues.
  • Identifies documentation improvement opportunities that impact coding accuracy.
  • Initiates physician queries for clarification of documentation in the medical record to achieve accurate code assignment.
  • Collaborates with the clinical documentation improvement team for conflicts between code assignments.
  • Reviews and researches billing edits.
  • Assists with DRG denials from payers including researching and writing appeal letters.
  • Ability to interpret Medicare and NCCI guidelines, National and Local Coverage Determinations to support coding compliance.
  • Performs other duties as assigned including training/mentoring of new staff and performing research related to special projects

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!