Auditor 2, Zero Balance
Virtix Health
SQL
Coding Quality Auditor
Tenet Healthcare
full-time
Posted on:
Location: 🇺🇸 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 accuracy against official guidelines; supports payment methodology.
- Consulting: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding.
- Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures; adheres to Standards of Ethical Coding (AHIMA) and reviews discharge disposition.
- IP, OP Coding: Reviews medical records for accurate ICD-9-CM codes for diagnoses and procedures.
- Coding: Uses discretion and specialized coding training to accurately assign ICD-9, CPT-4 codes to patient records.
- Abstracting: Reviews medical records to determine accurate required abstracting elements including discharge disposition.
- Coding Quality: Demonstrates accuracy and consistency in principal and secondary diagnoses and procedures, including MCC/CC, and abstracting elements per SOW.
- CDI: Identifies and communicates documentation improvement opportunities and coding issues to appropriate personnel for follow-up and resolution.
- Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other directives; attends seminars and quarterly updates.
Requirements
- Associates degree in relevant field preferred or combination of equivalent of education and experience
- Three years coding experience including hospital and consulting background
- AHIMA Credentials, and or AAPC
