Coding Auditor in Abilene, Texas at Hendrick Medical Center

JOB SUMMARY

Conducts coding compliance audits of inpatient and outpatient encounters to validate code 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.

EDUCATION

• Associates degree in relevant field preferred or combination of equivalent of education and experience

EXPERIENCE

• Five (5) years coding experience including but not limited to hospital inpatient and outpatient encounters

REQUIRED CERTIFICATIONS/LICENSURE

• AHIMA and/or AAPC Coding Credential, CCS preferred

KNOWLEDGE, SKILLS, ABILITIES

• Ability to consistently and accurately audit coding of inpatient and outpatient encounters
• Ability to create clear and concise audit reports and maintain productivity standards
• Must successfully pass pre-hire coding assessment
• Knowledge of medical terminology, ICD-10 CM/PCS, EM, and CPT-4 coding guidelines and methodologies
• Knowledge of disease pathophysiology and drug utilization
• Knowledge of MS-DRG classification and reimbursement structures
• Knowledge of APC, OCE, NCCI classification and reimbursement structures
• Must be detail oriented and have the ability to work independently
• Computer knowledge of MS Office
• Must display excellent interpersonal skills
• Ability to demonstrate initiative and discipline in time management and assignment completion
• Ability to work in a virtual setting under minimal supervision