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Hospital Coding Auditor
Baptist HealthCoding Auditor reviewing hospital patient records for proper coding guidelines and educating coders at Baptist Health Care.
About the role
Key responsibilities & impact- Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable.
- Works with CDIS on DRG assignment and educates on missed Query opportunities.
- Reviews discharge summaries for coding accuracy.
- Appeals RAC DRG review charts.
Requirements
What you’ll need- Technical Diploma/Certificate Coding Required
- 5 years Inpatient and/or outpatient coding experience Required
- Experience in regulatory issues related to Medicare, and other third party payers as it relates to hospital and ambulatory coding and billing. Required
- Certified Coding Specialist (CCS_AHIMA) Required or
- Certified Professional Coder (CPC_AAPC) Required or
- Certified Coding Associate (CCA_AHIMA) Required
Benefits
Comp & perks- Baptist Health Care is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law.
ATS Keywords
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Hard Skills & Tools
ICD-10-CM codingICD-10-PCS codingCPT codingPOA assignmentMS-DRG assignmentcoding accuracyRAC DRG reviewinpatient codingoutpatient codingbilling
Certifications
Certified Coding Specialist (CCS_AHIMA)Certified Professional Coder (CPC_AAPC)Certified Coding Associate (CCA_AHIMA)