Coding Auditor Hospital

Sarah Bush Lincoln

21h • $24 - $37

About The Position

Coding Auditor's primary responsibilities are auditing the coding assignment, training of coding staff, technical based coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MS Diagnosis Related Groupings (MS-DRG), APC (Ambulatory Payment Classification), and coding for severity of illness. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations Department: Medical Record Management Hours: Full-Time; 40 hours required Required: High School Diploma; CPC and CPMA and/or CEMA Pay: based on experience, starting at $23.87 At this time, we are only able to consider applicants who reside in the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas

Requirements

• High School (Required)
• CCS - Certified Coding Specialist - American Health Information Management Association
• Certified Professional Coder - Sarah Bush Lincoln
• Registered Health Information Technician (RHIT) - American Health Information Management Association or Registered Health Info Administrator (RHIA) - American Health Information Management Association - American Health Information Management Association

Responsibilities

• Abstracts coded data in the Meditech abstracting module. Maintains 98% rate of information correctly abstracted into the Meditech System.
• Assists physicians with record documentation needs by requesting clarification for additional information. Assists in educating physicians and ancillary staff members about documentation needed for coding process. Contacts physician offices and/or SBLHS departments as needed for diagnostic information to code the account, ensuring that coding errors are corrected in the departments where they originated.
• Assists with charge master coding assignment.
• Codes all types of records as assigned and assists coworkers as workload allows.
• Concurrently codes and abstracts inpatient records from 4 East, 4 West, 3 East, 2 East, and CCU based on established production standards.
• Coordinates government quality reviews. Conducts audits and report outcomes.
• Facilitates coder education for quality of service. Trains new coding staff on coding systems and processes. Ensures that records are coded with established guidelines.
• Meets quality standards of having 95% of principal diagnoses and procedures appropriately and/or correctly coded. Ensures data quality and optimum reimbursement allowable under the federal and state payment systems.
• Monitors the status of unbilled accounts and compiles reports to follow-up accounts not coded.
• Participates on teams and committees as requested.
• Performs external quality audits and reports the action to be taken based on the request.
• Performs internal coding quality audit reviews for area of responsibility and reports results to Coding Supervisor-Hospital.
• Refers medical record to Coding Supervisor, if there is a question regarding the diagnoses / codes.
• Retrospectively codes and abstracts emergency department and wound series records based on established production standards.
• Retrospectively codes and abstracts inpatient newborn records based on established production standards.
• Retrospectively codes and abstracts inpatient records from BHS and Women & Children’s based on established production standards.
• Retrospectively codes and abstracts observation records based on established production standards.
• Retrospectively codes and abstracts records from outpatient surgery, special procedure, pain management, and Interventional Radiology based on established production standards.
• Retrospectively codes and abstracts records from radiology, ancillary outpatient records, pre-op, and series based on established production standards.
• Retrospectively codes and abstracts records from reference lab and pathology based on established production standards.
• Reviews record thoroughly to ascertain all diagnoses/procedures. Codes all diagnoses/procedures in accordance to ICD-CM/PCS and CPT coding principles, official guidelines and regulations.
• Willing to accept additional assignments as appropriate.

Benefits

• When you come to work for Sarah Bush Lincoln or Fayette County Hospital Long Term Care, you have our commitment to help make this the best work experience of your life.
• Career development is available through continuing education and on-site training, so come grow with us!
• We are striving to be the employer of choice in the area.
• Employees reap the benefit of our work culture which is steeped in professional and personal development programs.
• We have developed a solid benefit package to help retain our employees, while providing them opportunities to grow their careers.
• We support on-site classroom learning programs and internet courses, and we have a generous tuition reimbursement program-- all designed to help staff achieve their goals.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED