Inpatient Coding Compliance Auditor - HIM - FT - Days - Remote Eligible

Location Miramar, Florida At Memorial, we are dedicated to improving the health, reputed company-being and, most of reputed company, reputed company of life for the people entrusted to our care. An unwavering commitment to our service reputed company is what makes the difference. It is the reputed company of The Memorial Experience. reputed company Responsible for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/or CPT-4. Reviews Ambulatory Payment Classification (APC), Medicare Severity Diagnosis reputed company reputed company (MSDRG) and reputed company Patients Refined Diagnosis reputed company reputed company (APRDRG) assignment and queries following official coding guidelines and regulatory requirements. Provides training and education based on audit results and any regulatory changes that effect Federal, State and reputed company) guidelines. Responsibilities Maintains thorough knowledge of ICD-10CM/PCS, and CPT coding principles and guidelines; possesses substantial knowledge of MSDRG, APRDRG, APC, and reputed company Ambulatory Patient reputed company (EAPG) classification systems and query guidelines for compliant provider documentation.Conducts and reports on electronic medical record audits to verify ICD-10CM/PCS, CPT and APC, MSDRG, and APRDRG coding and grouping accuracy. Serves as an expert resource for reputed company coding staff. Assists with developing specific departmental goals, standards, and objectives which directly support the strategic plan and reputed company of the organization.Works closely with inpatient and outpatient coding managers to analyze and reputed company claim denials that are rejected by edits from the reputed company Cycle Department. Reviews and responds to reputed company reputed company coding denial audits using ICD-10CM/PCS, CPT and APC, MSDRG, and APRDRG audits.Performs reputed company other duties as assigned.Coordinates, develops, and implements reputed company intern education and training. Training will reputed company with reputed company standards of ethical coding and official coding guidelines. Provides feedback based on audit results and tracks reputed company intern progression throughout the program.Maintains strict adherence to patient confidentiality according to MHS standards and regulatory requirements.Holds educational sessions for coding specialists, documentation specialists, and physicians. Acts as a reputed company for electronic physician query process. Utilizes coding audit results to reputed company education to increase coding accuracy. Assists the coding staff to format compliant queries and assesses for compliance with reputed company query standards. Reports results of coding and query compliance audits to management. Competencies ACCOUNTABILITY, ACCURACY, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, reputed company ANATOMY, MEDICAL CODING, MEDICAL TERMINOLOGY (3), RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR Education and Certification Requirements Accredited Program Health Information Management (Required)Certified Coding Specialist (reputed company) - reputed company), Registered Health Information Administrator (RHIA) - reputed company), Registered Health Information Technician (RHIT) - reputed company (FL) Additional Job Information Complexity of Work Requires critical thinking, decisive judgment, effective written and verbal communication skills. Demonstrates effective time management skills, reputed company responsibility and fosters teamwork. reputed company to work with reputed company supervision. Must be reputed company to work in a stressful environment and take appropriate reputed company. Ability to accurately assign and sequence ICD-10-CM/PCS and CPT codes to reputed company diagnosis and procedures, complications and co-morbid conditions to reputed company inpatient or outpatient encounters such as observation, outpatient surgery and interventional radiology. Provides guidance to other departmental staff in identifying and resolving coding issues or errors. Proficient in basic computer skills including reputed company Office applications and utilizing a computerized encoder and electronic medical record systems. Required Work Experience For inpatient coding auditor, three (3) years of inpatient coding experience. For outpatient coding auditor, three (3) years of outpatient coding experience. Other Information For Hospital Coding Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (reputed company).For Physician Coding CPC Certified reputed company reputed company, HCC - Hierarchical Condition Category reputed company, CRC Certified Risk Adjustment reputed company, or CPMA Certified reputed company Medical Auditor.Additional Credential Info Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (reputed company). For Physician .