Coding Compliance Auditor

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Perform regular coding audits and manage the continuous oversight of coding precision.

• Offer ongoing feedback to the coding team.

• Create and oversee training sessions for coding staff on proper documentation and coding accuracy.

• Act as a point of reference for coding and documentation standards and guidelines across the organization.

• Develop audit tools to assess the accuracy of clinical coding.

• Stay updated on coding regulations and reimbursement reporting requirements.

• Conduct trend analyses to detect patterns and discrepancies in coding practices.

• Adhere to AHIMA's Standards of Ethical Coding and official coding protocols.

• Ensure a safe environment for patients, staff, and visitors.

• Comply with Memorial Hermann’s policies, procedures, standards, productivity expectations, quality measures, and budgetary constraints.

• Foster professional growth and development through mandatory and continuing education and skills competency initiatives.

• Support department objectives and act as a preceptor, mentor, and resource for less experienced staff.

• Create compassionate and personalized interactions for community members, patients, and colleagues.

• Execute additional responsibilities as assigned.

⛳️ Requirements

• A high school diploma or GED is mandatory.

• For inpatient coding: RHIT, RHIA, CCA, CCS, or CIC coding certification from AHIMA or AAPC is required.

• For outpatient coding: RHIT, RHIA, or a relevant coding certification from AHIMA or AAPC is necessary.

• A minimum of four (4) years of pertinent hospital coding or auditing experience is required.

• Experience in coding/auditing within a level 1 trauma center or academic teaching institution is highly preferred.

• Comprehensive understanding of ICD-10-CM and CPT coding principles and guidelines is essential.

• In-depth knowledge of 3M Coding applications and resolving coding edits is crucial.

• Familiarity with reimbursement systems, regulations, and policies related to documentation, coding, and billing is necessary.

• Proficiency in database applications and spreadsheet design is required.

• Strong oral and written communication skills are essential.

• Possess the knowledge and skills necessary to provide care suited to the patient population served.

• Understanding of growth and development principles as they pertain to various life stages is important.

🏝️ Benefits

• Requirements for mandatory/continuing education and skills competency.

• Opportunities for professional growth and development.

• Opportunities to serve as a preceptor, mentor, and resource.

• Support and care focused on employees.

• A safe, caring, personalized, and efficient work environment.