Coding Quality Auditor
Tenet Healthcare
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $31 - $46 per hour
Job Level
Mid-LevelSenior
About the role
- Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology.
- Consults facility leaders and staff on best practices, methodology, and tools for accurately coding.
- Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA).
- Uses discretion and specialized coding training and experience to accurately assign ICD-9, CPT-4 codes to patient medical records.
- Identifies and communicates documentation improvement opportunities and coding issues to appropriate personnel for follow-up and resolution.
- Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic.
Requirements
- Associates degree in relevant field preferred or combination of equivalent of education and experience
- Three years coding experience including hospital and consulting background
- Ability to consistently code at 95% accuracy and quality while maintaining client specified production standards
- Must successfully pass coding test
- Knowledge of medical terminology, ICD-9-CM and CPT-4 codes
- Must be detail oriented and have the ability to work independently
- Computer knowledge of MS Office
- Must display excellent interpersonal skills
- The coder should demonstrate initiative and discipline in time management and assignment completion
- The coder must be able to work in a virtual setting under minimal supervision
- Intermediate knowledge of disease pathophysiology and drug utilization
- Intermediate knowledge of MSDRG classification and reimbursement structures
- Intermediate knowledge of APC, OCE, NCCI classification and reimbursement structures
Benefits
- Medical, dental, vision, disability, and life insurance
- Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
- 401k with up to 6% employer match
- 10 paid holidays per year
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
- For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
ICD-9 codingCPT-4 codingmedical terminologydata quality auditscoding accuracydocumentation improvementdisease pathophysiologydrug utilizationMSDRG classificationAPC classification
Soft skills
detail orientedindependent workinterpersonal skillsinitiativedisciplinetime management