Memorial Hermann Health System
Coding Compliance Auditor
Memorial Hermann Health System, Houston, Texas, United States, 77246
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Coding Compliance Auditor
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Memorial Hermann Health System At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Overview Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager.
Minimum Qualifications Education : High school diploma or GED, required
Licenses/Certifications :
Inpatient
- RHIT, RHIA, CCA, CCS, or CIC certifications from AHIMA or AAPC required.
Outpatient
- RHIT, RHIA, or relevant Coding Certification(s) from AHIMA or AAPC required.
Experience / Knowledge / Skills :
Four (4) years of relevant hospital coding or auditing experience required.
Experience coding/auditing in a level 1 trauma facility/academic teaching facility strongly preferred.
Extensive knowledge of ICD-10-CM and CPT coding principles and guidelines.
Extensive knowledge of 3M Coding applications and resolving coding edits.
Working knowledge of reimbursement systems and regulations and policies pertaining to documentation, coding, and billing.
Knowledge of database applications and spreadsheet design.
Effective oral and written communication skills.
Principal Accountabilities
Conducts regular coding audits and coordinates ongoing monitoring of coding accuracy, providing continuous feedback to coding staff.
Develops and coordinates educational sessions to all coding staff regarding documentation and accurate coding.
Serves as a resource for coding staff on organization-wide coding and documentation standards and guidelines.
Designs audit tools to monitor the accuracy of clinical coding.
Keeps abreast of coding guidelines and reimbursement reporting requirements.
Conducts trend analyses to identify patterns and variations in coding practices.
Abides by the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines.
Ensures safe care to patients, staff and visitors; adheres to Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes professional growth by meeting continuing education requirements and skills competency; supports department goals; serves as preceptor and mentor.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.
Other duties as assigned.
Job Details
Seniority level : Mid-Senior level
Employment type : Full-time
Job function : Finance and Sales
Industries : Hospitals and Health Care
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Coding Compliance Auditor
role at
Memorial Hermann Health System At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Overview Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager.
Minimum Qualifications Education : High school diploma or GED, required
Licenses/Certifications :
Inpatient
- RHIT, RHIA, CCA, CCS, or CIC certifications from AHIMA or AAPC required.
Outpatient
- RHIT, RHIA, or relevant Coding Certification(s) from AHIMA or AAPC required.
Experience / Knowledge / Skills :
Four (4) years of relevant hospital coding or auditing experience required.
Experience coding/auditing in a level 1 trauma facility/academic teaching facility strongly preferred.
Extensive knowledge of ICD-10-CM and CPT coding principles and guidelines.
Extensive knowledge of 3M Coding applications and resolving coding edits.
Working knowledge of reimbursement systems and regulations and policies pertaining to documentation, coding, and billing.
Knowledge of database applications and spreadsheet design.
Effective oral and written communication skills.
Principal Accountabilities
Conducts regular coding audits and coordinates ongoing monitoring of coding accuracy, providing continuous feedback to coding staff.
Develops and coordinates educational sessions to all coding staff regarding documentation and accurate coding.
Serves as a resource for coding staff on organization-wide coding and documentation standards and guidelines.
Designs audit tools to monitor the accuracy of clinical coding.
Keeps abreast of coding guidelines and reimbursement reporting requirements.
Conducts trend analyses to identify patterns and variations in coding practices.
Abides by the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines.
Ensures safe care to patients, staff and visitors; adheres to Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes professional growth by meeting continuing education requirements and skills competency; supports department goals; serves as preceptor and mentor.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.
Other duties as assigned.
Job Details
Seniority level : Mid-Senior level
Employment type : Full-time
Job function : Finance and Sales
Industries : Hospitals and Health Care
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr