Coding Compliance Auditor, Inpatient

Job Description

The University of Maryland Medical System (UMMS) is an academic private health system that delivers compassionate, high-quality care and integrates academic medicine into daily practice. UMMS partners with the University of Maryland School of Medicine, University of Maryland School of Nursing, and University of Maryland, Baltimore, which educate future health care professionals. UMMS provides care through 11 hospitals, including the flagship University of Maryland Medical Center, and through a network of Urgent Care centers and other locations.

• Audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research, and compliance with federal and state regulations.
• Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits for the purpose of reimbursement, research, and compliance with federal and state regulations.
• Audits complex inpatient cases such as trauma, rehab, neurology, critical care, etc., using the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment.

Job Requirements

• Serves as a clinical coding subject matter expert and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.
• High School graduate or equivalent.
• Formal ICD-10-CM, ICD-10-PCS, CPT-4 training.
• Associates or Bachelor’s degree (education will be considered in lieu of experience).
• Minimum of two years ICD-10-CM/ICD-10-PCS coding and abstracting experience with a Level 1 Trauma hospital or four years of experience with coding inpatient hospital medical records.
• Two to three years ambulatory coding experience.
• One of the following certifications: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC).

Education and Experience

• Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability.

Additional Information

• All your information will be kept confidential according to EEO guidelines.
• Pay Range: $33.36-46.70
• Other Compensation (if applicable): Review the 2024-2025 UMMS Benefits Guide
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