Texas Health Huguley FWS
Job Description - Inpatient Coding Auditor
Job Overview
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. The community you’ll be caring for: AdventHealth Orlando, a 1,368-bed hospital serving as the major tertiary facility for much of the Southeast, the Caribbean and South America. Responsibilities
Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible for validating the coding performed by inpatient or outpatient coders. Random and/or target samples are reviewed, and the results are provided to management and feedback to the individual coder. Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently. May perform pre-bill morality and PSI/HAC reviews. May perform Iodine Retrospective reviews in conjunction with the CDI team. Provides continuing education to individual coders and the coding staff concerning changes in the coding and reimbursement system and any weakness identified during the coding validation reviews. Qualifications
High School Grad or Equiv and two years of coding education (medical coding certificate program, diploma or 2-year HIM program), including medical terminology, anatomy and physiology, and pathophysiology coursework. 5+ years of inpatient hospital coding and/or auditing experience, including cases requiring specialized coding skills, such as cardiovascular surgery, neurosurgery, trauma surgery, neonatology, pediatrics, plastic and reconstruction surgery, bariatric surgery, cardiology, and other services and procedures provided in a tertiary care facility. RHIA - Registered Health Information Administrator We offer a range of benefits, including benefits from day one, paid days off, and mental health resources and support. Note:
We are an equal opportunities employer and welcome applications from all qualified candidates.
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Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. The community you’ll be caring for: AdventHealth Orlando, a 1,368-bed hospital serving as the major tertiary facility for much of the Southeast, the Caribbean and South America. Responsibilities
Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible for validating the coding performed by inpatient or outpatient coders. Random and/or target samples are reviewed, and the results are provided to management and feedback to the individual coder. Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently. May perform pre-bill morality and PSI/HAC reviews. May perform Iodine Retrospective reviews in conjunction with the CDI team. Provides continuing education to individual coders and the coding staff concerning changes in the coding and reimbursement system and any weakness identified during the coding validation reviews. Qualifications
High School Grad or Equiv and two years of coding education (medical coding certificate program, diploma or 2-year HIM program), including medical terminology, anatomy and physiology, and pathophysiology coursework. 5+ years of inpatient hospital coding and/or auditing experience, including cases requiring specialized coding skills, such as cardiovascular surgery, neurosurgery, trauma surgery, neonatology, pediatrics, plastic and reconstruction surgery, bariatric surgery, cardiology, and other services and procedures provided in a tertiary care facility. RHIA - Registered Health Information Administrator We offer a range of benefits, including benefits from day one, paid days off, and mental health resources and support. Note:
We are an equal opportunities employer and welcome applications from all qualified candidates.
#J-18808-Ljbffr