Coding Quality Auditor

Job Opening Summary

This position reports to the Manager of Coding / CDI and is responsible for ongoing quality review and assessment of coded hospital data. Performs audits on the accuracy of ICD-10, CPT-4, MS-DRG, APR-DRG and APC assignments. Prepares reports for management review and identifies trends. Conducts focused retrospective audits and regularly scheduled audits of individual coders. Manages all audits conducted by internal and external entities and responds to requests for code verification. In conjunction with the Coding Supervisors and Coding Manager, contributes to the development of educational and training opportunities for staff.

Job Opening Qualifications

Required Education : High School Diploma

Preferred Education :

Associate or Bachelor’s Degree in Health Information Management / Medical Record Administration. Equivalent healthcare college degree may also be considered.

Required Licensure / Certifications :

One of the following : Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT).

Preferred Licensure / Certifications :

AHIMA Certified ICD-10-CM / PCS Trainer

Required Experience :

Greater than five (5) years of hospital inpatient and / or outpatient medical record coding and reimbursement.

Preferred Experience :

Coding audit experience

Necessary Skills : 1. PC knowledge

2. Good written and oral communication and customer service skills

3. Must have proficiency with Microsoft Windows Operating Systems and Office applications such as Word, Excel, PowerPoint, and coding / grouping software.

4. Must be detail oriented, organized and flexible

5. Able to demonstrate initiative and perform minimum productivity levels

6. Must have thorough knowledge of medical terminology, anatomy, and physiology and able to accept direction with changing priorities.

Age of Patients Served :

Not applicable

Supervisory Responsibility :

Number of Employees Supervised : 0

Budgetary Responsibility :

Responsible for annual budget of $0.00