HIM CODING COMPLIANCE AUDITOR in Baltimore, Maryland at LifeBridge Health

100% REMOTE WORK OPPORTUNITY

Eligible remote locations: Alaska, Arizona, Arkansas, District of Columbia, Florida, Georgia, Idaho, Illinois, Louisiana,
Maryland, Mississippi, Montana, Nebraska, Nevada, New Mexico, North Carolina, North
Dakota, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah,
Virginia, West Virginia, Wisconsin, and Wyoming

Who We Are:

LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.

The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale and Grace Medical Center by providing appropriate and timely access to health information for continuity of patient care and other authorized requests.

Reviews medical records for coding accuracy (I10 and CPT) and DRG (CMS or APR) assignment. Develops and provides a structured reporting and education process for HIM coders.

Key Responsibilities:

• Review outpatient records for coding accuracy and/or charge accuracy.
• Reviews records for compliance with standardized coding conventions.
• Determines which records are to be reviewed based on coding, CPT or DRG

change patterns.

• Reviews and advises on post-discharge audit records with coding changes proposed by external auditors. Educates HIM Coding Staff on coding
• conventions, chart review techniques and idiosyncrasies of DRGs (CMS and APR). Educates on CPT and ICD10. Identifies educational opportunities based on audit results.

Requirements:

• Formal working knowledge; equivalent to an Associate's degree (2 years college); requires knowledge of a specialized field.
• Seven (7)+ years of experience.
• Certifications - CPC can be substituted for the outpatient auditor, RHIT or RHIA required.