Steward Health Care System

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HIM Outpatient Coding Auditor

at Steward Health Care System

Posted: 1/17/2020
Job Status: Full Time
Job Reference #: 18989
Keywords: billing

Job Description

Location: Corporate
Posted Date: 12/20/2019

Position Summary:‹‹‹‹‹

Conducts outpatient 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, ICD PCS, CPT, HCPCS, and modifier codes.


  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 or AAPC certification required, such as RHIA, RHIT, CCS, CIRCC, CPC, COC
  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 outpatient services including outpatient surgical, observation, emergency department, diagnostic outpatient, clinic, and series accounts. Also prefer experience in interventional radiology, E&M leveling and coding of injections and infusions.
  • 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.
  • Reviews and researches billing edits.
  • 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!