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Coding Compliance Auditor
Memorial Hermann Health SystemCoding Compliance Auditor at Memorial Hermann, a healthcare provider, auditing clinical coding for accuracy, reimbursement, and data integrity. Supporting coding education, compliance, and documentation standards.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding accuracy, auditing, and compliance with AHIMA standards, while providing mentorship and educational support to coding staff. Proficient in ICD-10-CM, CPT coding principles, and reimbursement systems, ensuring high-quality patient care and adherence to organizational policies.
Highest-signal resume keywords
RHIT CertificationICD-10-CM CodingCPT Coding3M Coding ApplicationsHospital Coding Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Coding AuditsCoding Accuracy MonitoringTrend AnalysisDatabase ApplicationsSpreadsheet Design
Soft Skills
Effective CommunicationMentoringFeedback ProvisionCompassionate Care
Certifications & Qualifications
RHITRHIACCACCSCIC
Industry Keywords
AHIMA StandardsReimbursement SystemsDocumentation StandardsCoding GuidelinesLevel 1 Trauma Facility
About the role
Key responsibilities & impact- Conduct regular coding audits and coordinate ongoing monitoring of coding accuracy
- Provide continuous feedback to coding staff
- Develop and coordinate educational sessions for coding staff regarding documentation and accurate coding
- Serve as a resource on organization-wide coding and documentation standards and guidelines
- Design audit tools to monitor clinical coding accuracy
- Keep abreast of coding guidelines and reimbursement reporting requirements
- Conduct trend analyses to identify patterns and variations in coding practices
- Abide by AHIMA Standards of Ethical Coding and official coding guidelines
- Ensure safe care for patients, staff, and visitors
- Meet Memorial Hermann policies, procedures, standards, productivity, quality, and budgetary requirements
- Promote professional growth and development through mandatory/continuing education and skills competency
- Support department-based goals and serve as preceptor, mentor, and resource to less experienced staff
- Create compassionate and personalized experiences for community members, patients, and colleagues
- Perform other duties as assigned
Requirements
What you’ll need- High school diploma or GED required
- Inpatient: RHIT, RHIA, CCA, CCS, or CIC coding certification from AHIMA or AAPC required
- Outpatient: RHIT, RHIA, or relevant coding certification from AHIMA or AAPC required
- Four (4) years of relevant hospital coding or auditing experience required
- Experience coding/auditing in a level 1 trauma facility or academic teaching facility strongly preferred
- Extensive knowledge of ICD-10-CM and CPT coding principles and guidelines
- Extensive knowledge of 3M Coding applications and resolving coding edits
- Working knowledge of reimbursement systems, regulations, and policies pertaining to documentation, coding, and billing
- Knowledge of database applications and spreadsheet design
- Effective oral and written communication skills
- Knowledge and skills necessary to provide care appropriate to the patient served
- Knowledge of principles of growth and development as related to different life cycles
Benefits
Comp & perks- Mandatory/continuing education and skills competency requirements
- Professional growth and development opportunities
- Preceptor, mentor, and resource opportunities
- Employee-focused support and care
- Safe, caring, personalized, and efficient workplace experiences