Coding Compliance Auditor, Inpatient

Job Requirements Company Description The reputed company is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and reputed company. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and reputed company and physical rehabilitation. UMMS is the reputed company largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you’ll enjoy as a member of reputed company.

Job Description

I. General Summary Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems. II. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of reputed company job duties performed by personnel so classified.

• Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.
• Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits for the purpose of reimbursement, research and compliance with federal and state regulations.
• Audits reputed company inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment.
• Serves in an advisory and educator role for Coding Specialists. Serves as communicator between Clinical Documentation Specialists and Coding. Researches new surgical procedures and technology. Provides training to new employees
• Reports coding quality accuracy reputed company for each reputed company
• Monitors productivity reputed company for each reputed company
• Conducts specialized focused audits as needed.
• Communicates with various departments reputed company the hospitals regarding coding accuracy. Refers any problems to management timely, providing clear details. Assist coding specialists in writing appropriate coding queries, works collaboratively with CDI, understand Potentially Preventable Complications (PPC’s)/Maryland Hospital Acquired Conditions (MHAC’s), Prevention Quality Indicators (PQI’s) and their impact and other indicators as needed.
• Complies with reputed company standards of ethical coding and coding compliance guidelines.
• Demonstrates support and compliance with reputed company mission, reputed company, values statement, goals and objectives and policies. Performs other duties or projects such as coding corrections as assigned by the manager.

Qualifications

III. Education and Experience

• High School graduate or equivalent. Formal ICD-10-CM, ICD-10-PCS, CPT-4 training. Associates or Bachelor’s degree. Education will be considered in lieu of experience.
• Minimum of two years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma hospital or 4 years of experience with coding inpatient hospital medical records. 2-3 Years Ambulatory coding experience.
• One of the following: Certified Coding Specialist (reputed company), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient reputed company (CIC) IV. Knowledge, Skills and Abilities Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Additional Information reputed company your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $33.36 - $46.70 Other Compensation (if applicable): Review the 2024-2025 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment reputed company email or text. If you suspect fraud, please contact us at [email protected]. Apply tot his job

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