Key skills
Communication
About this role
Role Overview
- The Inpatient Medical Coding Auditor reviews DRG and ICD-10-CM/PCS coding assignments for accuracy within coding disputes team
- Consults and collaborates with coding professionals to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality
- Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines
- Communicates disputes outcomes to providers in a professional and concise manner
- Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices
- Manages multiple priorities, collaborates with peers and ensures timely completion of inpatient coding disputes
Requirements
- RHIA, RHIT or CCS Certification (have held at least one of these qualifications for 4 years)
- MS-DRG coding/auditing experience
- 3+ years' experience performing inpatient coding reviews/ audits in health insurance and/or hospital settings
- Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel
- Can work independently and determine appropriate course of action
- Excellent communication skills both written and verbal
- Associate's Degree or higher in Health Information Management (HIM) (Preferred)
- Experience in APR DRG coding/auditing (Preferred)
- Experience in Financial Recovery (Preferred)
- Experience in a fast paced, metric driven operational setting (Preferred)
Benefits
- Health benefits effective day 1
- Paid time off, holidays, volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities