Coding Inpatient Auditor & Education Specialist-Full time, Days, Remote

Responsibilities

• Works with the Corporate Director of Health Information Management and Inpatient Coding Manager to design, plan, and organize training programs and timelines for new hire and ongoing staff education.
• Makes sure coders progress through the orientation and training process.
• Develops an ongoing audit schedule for all Inpatient coding staff and reviews cases for accurate ICD-10-CM/PCS, Diagnosis Related Group, Present on Admission Indicators, Severity of Illness, Risk of Mortality, and discharge disposition assignments.
• Conducts random and focused quality audits on all Inpatient Centra and contracted/vendor coding staff, documenting audit findings, trends, and ensuring they are investigated and education is prepared and reviewed with coding staff when necessary.
• Keeps up-to-date with new regulatory requirements, annual revisions to the codes, etc., and applies this information appropriately.
• Communicates clearly, leads innovative and engaging training and education sessions for Inpatient coding staff development.
• Serves as a resource and subject matter expert to Inpatient coding staff.
• Maintains strict confidentiality of all information, including financial/operational, employee/human resource, healthcare/patient data and information.
• Works in close collaboration with Inpatient Coding Manager and Corporate Director of Health Information to ensure timely, accurate education.
• Performs other duties as assigned.

Qualifications

• Associate degree in health information management or a related field
• Minimum of five (5) years of hospital Inpatient coding experience
• In-depth knowledge of ICD-10-CM and ICD-10-PCS
• Proficient in Diagnosis Related Groups structure (MS-DRG, APR-DRG), and Inpatient Prospective Payment System
• Knowledge of reimbursement methodologies and claims processing
• Ability to develop educational materials and job aids pertaining to Inpatient coding
• American Health Information Management Association credentialed, RHIT or CCS
• Proficient in Microsoft Office Products including Word, Excel, and PowerPoint
• Strong Analytical skills, Critical Thinking, and excellent verbal and written communication skills