Quality Auditor & Educator

Job Description - Quality Auditor & Educator The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the inpatient or outpatient coding teams across the organization by completing both overall and account-level quality reviews of inpatient and outpatient coding functions. Responsibilities: Completes timely and accurate quality assurance audits while adhering to inpatient and/or outpatient coding policies, procedures, and established audit schedule. Translates quality auditing results into practical recommendations for improvements in further standardizing audit policies and procedures. Uses relevant references to perform audits, including but not limited to: International Classification of Diseases, Clinical Modification (ICD-10-CM and ICD-10-PCS), CPT, ICD-10-CM/PCS Coding Conventions, Official Coding Guidelines, CPT Assistant, AHA Coding Clinic, CMS guidelines, NCCI guidance, etc. Provides outcomes of coding quality audit reviews with leadership. Maintains current knowledge of coding principles and guidelines as coding conventions are updated; monitors and analyzes current industry trends and issues for potential organizational impact. Assists with the facilitation of scheduled external audits. Responds to inpatient or outpatient coding questions from assigned coders/providers and provides official inpatient coding references and guidelines. Creates clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating coders, auditors, managers, and directors throughout the organization. Provides feedback to coding and CDI team members on escalated accounts. Collaborates with providers, AH Clinical, CDI, inpatient and outpatient coding staff to assist with or resolve issues relating to medical record documentation and coding. Qualifications: High School diploma or equivalent. Associate’s degree in HIM field or completion of a coding certificate program. Five (5) or more years of relevant experience. Must currently hold and maintain one of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Professional Coder Payer (CPC-P). What We Offer: Benefits and Paid Days Off from Day One. Paid Parental Leave. Whole Person Well-being and Mental Health Resources.

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