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Coding Compliance Auditor
Memorial Hermann Health SystemCoding Compliance Auditor ensuring accuracy and completeness of clinical coding for Memorial Hermann. Conducting audits and coordinating educational sessions for coding staff.
About the role
Key responsibilities & impact- Ensuring the accuracy and completeness of clinical coding resulting in appropriate reimbursement and data integrity.
- Conducts regular coding audits and coordinates ongoing monitoring of coding accuracy.
- Develops and coordinates educational sessions to all coding staff regarding documentation and accurate coding.
- Serves as a resource for coding staff on organization-wide coding and documentation standards and guidelines.
- Designs audit tools to monitor the accuracy of clinical coding.
- Keeps abreast of coding guidelines and reimbursement reporting requirements.
- Conducts trend analyses to identify patterns and variations in coding practices.
Requirements
What you’ll need- High school diploma or GED required
- Inpatient - Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required.
- Outpatient - Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or relevant Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required.
- Four (4) years of relevant hospital coding or auditing experience required.
- 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 and regulations and policies pertaining to documentation, coding, and billing.
- Knowledge of database applications and spreadsheet design.
- Effective oral and written communication skills.
Benefits
Comp & perks- Health insurance
- Professional development opportunities
ATS Keywords
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Hard Skills & Tools
clinical codingcoding auditsdocumentation standardsICD-10-CMCPT coding3M Coding applicationsreimbursement systemsdatabase applicationsspreadsheet designcoding edits
Soft Skills
effective communicationeducational coordinationresourcefulnessanalytical skills
Certifications
Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)Certified Coding Associate (CCA)Certified Coding Specialist (CCS)Certified Inpatient Coder (CIC)