Coding Quality Auditor

About the role

The Coding Quality Auditor position ensures accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines.

Responsibilities

• Data quality review to ensure data integrity, coding accuracy, and revenue preservation
• Participating in quality review and performance improvement projects throughout the department or facility
• Responds promptly to internal and external customer coding/DRG requests
• Provides assistance to the leadership team or other coders with coding of the accounts or answering questions from other coders relating to coding and work flows
• Identifies and anticipates customer requirements, expectations, and needs
• Takes initiative to assist others and shares knowledge with the coding group and business partners on official coding guidelines
• Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines
• Ensures work flows and worklists are reviewed or monitored in order to identify old uncoded accounts or problem accounts
• Assists in making sure coding bill hold goal is met
• Contributes ideas to help improve quality of coding data and abstracting data

Qualifications

• Associate’s degree or higher in a Commission on Accreditation in Health Informatics and Information Management accredited program required or additional two years of experience (in addition to the minimum experience requirements listed below) required in lieu of degree
• Required Muat have one of the following: RHIT, RHIA, or CCS from AHIMA

Skills and Abilities

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
• Knowledge of an electronic medical record and imaging systems
• Working knowledge of medical terminology, anatomy and physiology
• Proficiency with electronic encoder application
• AHIMA designated ICD-10 Approved Trainer preferred

Benefits

Not specified

Pay

Not specified

Schedule

Not specified