Job Description
Coding Auditor Inpatient (Job Number: 227826)
Description
BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.
The Inpatient Coding Auditor will work remote and must currently reside in the state of Florida. This position requires 10 years Inpatient Coding experience.
Responsibilities
- The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities and services provided by the BayCare Health System HIM Coding Department. Interacts directly with coders, clinical personnel including Clinical documentation specialists, and/or physicians.
- Audits include documentation and accurate and complete coding of diagnoses, present on admission (POA), procedures/surgeries, and discharge disposition while utilizing ICD-10-CM and ICD-10-PCS guidelines and other official coding references to ensure accurate coding including CMS, Federal Register, Official ICD-10-CM and ICD-10-PCS guidelines, AHA Coding Clinic, etc. Performs special audits for specific issues within facility Inpatient claims. Acts as the Liaison for coding issues with the BayCare Compliance Department while maintaining a database of all audits performed, action taken, outcome and resolution.
- Provides feedback when coding changes are received and will serve as a resource for leadership within the facility HIM Coding departments. Serves as a resource to the coding department for special projects.
- Required Experience includes a minimum 10 years of Inpatient coding experience within a large multi-facility inpatient setting, minimum 10 years of Inpatient auditing experience within a large multi-facility inpatient setting.
- Preferred Experience includes 3 years of experience with 3M 360. Required Certifications includes RHIA/RHIT in conjunction with CCS. Preferred Certifications include RN, CDIP, CCDS, or clinical degree. Additional required skills include: In-depth knowledge of Anatomy, Physiology, Pharmacology, and Pathophysiology related to auditing position; MS Access Database, MSWord and MS Excel; Knowledge of regulatory standards and official guidelines appropriate to position; Meeting facilitation skills.
Specific Skills
- Customer service skills
- Written and verbal communication skills
- Medical terminology use and understanding
- Organizational skills
- Computer skills appropriate to position
- Knowledge of regulatory standards appropriate to position
- Interpersonal skills and ability to work with a team
- Work independently
- Critical thinking skills
- Administrative and clerical skills
- Presentation skills
Why BayCare?
Our network consists of 15 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that is built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive in our forward-thinking culture, where we combine the best technology with compassionate service. We blend high-tech with high touch in ways that are advancing superior health care throughout the communities we serve.
Qualifications
Certifications and Licensures
- Required RHIA/RHIT in conjunction with CCS
- Preferred Certifications RN, CDIP, CCDS, or clinical degree
Education
- Required Associates Degree
- Preferred Bachelor’s Degree
Experience
- Required 10 Years Inpatient Coding
- Required 10 Years Inpatient Auditing
- Preferred 3 years’ experience with Recruiting
Organization: 2030-MPM HEALTH CARE
Primary Location: Florida
Schedule: Monday, Tuesday, Wednesday, Thursday, Friday
Shift: Days
Shift Hours: 8:00 AM – 4:30 PM
Weekend Work: None
On Call: No
Employment Status: ACTIVE FULL TIME