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Coding Auditor – Hospital Inpatient Compliance Edits
Franciscan HealthCoding Auditor ensuring compliance with payer reimbursement methodologies and coding quality at Franciscan Health. Collaborating with coding leadership and summarizing audit results for management.
About the role
Key responsibilities & impact- Collaborates with coding leadership and peers in the development and/or implementation of audit/monitoring plans.
- Evaluates prebill hospital inpatient coding compliance edits to ensure compliance with payer reimbursement methodologies and official coding guidelines.
- Summarizes quality review results for Coding Managers, Supervisors, Coding Educator, and coding staff.
- Participates in team meetings with coding personnel when necessary to discuss coding findings.
- Act as a subject matter expert regarding payer reimbursement methodologies and official coding guidelines.
- Provides details specific to audit trends to the Coding Educator for preparation of ongoing education.
- Notifies coding leadership of trends and topics for education and feedback to coders, physicians, and departments.
Requirements
What you’ll need- Associate's or Bachelor's Degree in Health Information Management - Preferred
- High School Diploma/GED - Required
- 5 years Coding Experience relevant to auditing specialty with CCS - Required
- Certified Coding Specialist ( CCS ) - American Health Information Management Association (AHIMA) - Required
- Registered Health Information Administrator ( RHIA ) - American Health Information Management Association (AHIMA) - Preferred
- Registered Health Information Technician ( RHIT ) - American Health Information Management Association (AHIMA) - Preferred
Benefits
Comp & perks- Comprehensive benefit offerings
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
coding complianceaudit planspayer reimbursement methodologiescoding guidelinesquality reviewcoding educationcoding trendscoding experienceauditing specialty
Soft Skills
collaborationcommunicationteamworksubject matter expertise
Certifications
Certified Coding Specialist (CCS)Registered Health Information Administrator (RHIA)Registered Health Information Technician (RHIT)