Current jobs related to Coding Quality Auditor - Memphis - Houston Methodist

  • Internal Auditor

    4 weeks ago

    Memphis, Tennessee, United States Evolve, LLC Full time

    Job Title: Internal AuditorAt Evolve, LLC, we are seeking a highly skilled Internal Auditor to join our team. As an Internal Auditor, you will play a critical role in ensuring the effectiveness of our internal controls and risk management processes.Key Responsibilities:Assist in Audit Planning: Collaborate with our audit team to plan and execute audits of...

  • Senior Internal Auditor

    4 weeks ago

    Memphis, Tennessee, United States American Residential Services Full time

    Job SummaryThe Senior Internal Auditor will play a key role in examining and analyzing accounting records to determine the financial status of the company and its operating units. This position requires a strong understanding of internal auditing and accounting principles and practices, as well as the ability to collect and analyze complex data, exercise...

  • Internal Auditor

    4 weeks ago

    Memphis, Tennessee, United States Evolve, LLC Full time

    Job Description:The Internal Auditor plays a crucial role in ensuring the Bank's financial and operational procedures are in compliance with regulatory requirements. This position is responsible for planning and executing audits, providing control consultation on risks and controls, and testing internal controls in compliance with FDICIA requirements.Key...

  • IT Internal Auditor

    3 days ago

    Memphis, Tennessee, United States Randstad Full time

    Job Summary:We are seeking an experienced IT Internal Auditor to join our team. The successful candidate will work collaboratively with management and key business partners to develop and implement effective IT internal audit scope and programs. This includes assessing the design and effectiveness of essential IT controls, performing due diligence on...

  • Night Auditor

    3 weeks ago

    Memphis, Tennessee, United States HYATT Hotels Full time

    Job Title: Night AuditorThe Night Auditor plays a crucial role in maintaining the integrity and quality of our hotel operations during the night shift. As a manager on duty, they are responsible for ensuring that all end-of-day activities are successfully executed by employees in all departments.Key Responsibilities:Accounting and Financial Management:...

  • Quality Assurance Specialist

    3 days ago

    Memphis, Tennessee, United States Amsted Automotive Group Full time

    About the RoleAs a Quality Auditor at Amsted Automotive Group, you will be responsible for ensuring the highest quality standards in our manufacturing processes. Our company is a premier technology organization specializing in complex metalworking and high-tech machining equipment and processes. We are a growing company that values employee experience and...

  • Senior Internal Auditor

    1 month ago

    Memphis, United States American Residential Services Full time

    **This position is based in Memphis, TN and requires up to 50% travel.SummaryThe Sr. Internal Auditor examines and analyzes accounting records to determine the financial status of the company and its operating units. Assignments include operational, financial and compliance auditing; providing consulting services to the organization’s management and staff;...

  • Senior Internal Auditor

    1 month ago

    Memphis, United States American Residential Services Full time

    **This position is based in Memphis, TN and requires up to 50% travel.SummaryThe Sr. Internal Auditor examines and analyzes accounting records to determine the financial status of the company and its operating units. Assignments include operational, financial and compliance auditing; providing consulting services to the organization’s management and staff;...

  • Night Auditor

    5 months ago

    Memphis, United States Sheraton Memphis Downtown Full time

    Property Description: Sheraton Memphis Downtown is a well-established hotel located in the heart of downtown Memphis, Tennessee, offering an exciting and dynamic work environment. As a job applicant, joining the team at Sheraton Memphis Downtown means being part of a trusted Marriott brand known for its Southern charm, exceptional service, and prime location...

  • Night Auditor

    2 weeks ago

    Memphis, Tennessee, United States HYATT Hotels Full time

    Night Auditor Job DescriptionThe Night Auditor is a key member of the hotel team, responsible for ensuring the quality and integrity of the establishment during nighttime hours.Main Responsibilities:Account Balancing: Accurately balance accounts from the day shift to ensure financial accuracy and integrity.Front Desk Management: Manage front desk activity,...

  • Medical Coding Specialist

    2 weeks ago

    Memphis, Tennessee, United States NSN Revenue Resources Full time

    Job Title: Medical Coding Specialist - SurgicalNSN Revenue Resources is seeking a skilled Medical Coding Specialist to join our team. As a key member of our revenue cycle management team, you will be responsible for assigning medical codes to facility charges for multispecialty outpatient surgical facilities.Key Responsibilities:Review and analyze medical...

  • Medical Coding Specialist- Surgical

    2 weeks ago

    Memphis, United States NSN Revenue Resources Full time

    Job Type Full-time Description Company Overview: NSN, part of USPI, is the best because we employ the best. We are a growing, entrepreneurial spirit medical revenue cycle management provider. Our team members are dedicated, brilliant, passionate, and results-oriented, with the commitment to ensuring that all our clients receive only the best service. We're...

  • Quality Assurance Manager

    1 week ago

    Memphis, Tennessee, United States Insight Global Full time

    Job Summary: We are seeking a Quality Assurance Manager to join our team at Insight Global. The successful candidate will be responsible for performing risk assessments and conducting audits to identify areas of deficiency and opportunities to improve underlying systems.Key Responsibilities:Perform risk assessments and conduct audits to identify areas of...

  • Quality Assurance Manager

    2 weeks ago

    Memphis, Tennessee, United States Insight Global Full time

    Quality Systems Manager Job DescriptionA leading client of Insight Global is seeking a seasoned Quality Systems Manager to join their team in Memphis, TN. As a key member of the organization, you will be responsible for conducting risk assessments, performing audits, and identifying areas of deficiency and opportunities for improvement. You will utilize...

  • Supplier Quality Engineer

    7 days ago

    memphis, United States DSJ Global Full time

    JOB DESCRIPTIONOur client is seeking a Supplier Quality Engineer to manage and improve the quality of components and OEM finished goods provided by their suppliers. The ideal candidate will be proactive, able to make an immediate impact through advanced quality management techniques, and skilled at building strong supplier relationships. A background in...

  • Quality Assurance Manager

    1 week ago

    West Memphis, Arkansas, United States Warren Oil Company Full time

    Quality Manager Job DescriptionA Quality Manager at Warren Oil Company is responsible for ensuring the company's products meet the highest quality standards. The successful candidate will be responsible for maintaining the ISO Quality Management System, coordinating internal audits, and implementing corrective actions.Key Responsibilities:Maintain the ISO...

  • Quality Assurance Manager

    7 days ago

    West Memphis, Arkansas, United States Warren Oil Company, Inc. Full time

    Job SummaryWarren Oil is seeking a Quality Assurance Manager to lead the development and implementation of quality management systems. The ideal candidate will have extensive experience in ISO compliance and a strong understanding of quality assurance principles.Key Responsibilities:Develop and implement quality management systems to ensure compliance with...

  • Quality Assurance Manager

    3 weeks ago

    West Memphis, Arkansas, United States Warren Oil Company Full time

    ISO Quality Manager Job DescriptionWarren Oil Company is seeking a highly skilled ISO Quality Manager to join our team. As a key member of our quality department, you will be responsible for ensuring compliance with ISO standards and maintaining a high level of quality in our products.Key Responsibilities:Maintain and improve our ISO Quality Management...

  • Quality Assurance Manager

    4 weeks ago

    West Memphis, Arkansas, United States Warren Oil Company, Inc. Full time

    Job SummaryWarren Oil Company, Inc. is seeking a highly skilled Quality Assurance Manager to join our team. As a key member of our organization, you will be responsible for ensuring the highest level of quality in our products and processes.Key ResponsibilitiesMaintain and improve our ISO Quality Management System to ensure compliance with industry...

  • North America Quality Systems Manager

    2 weeks ago

    Memphis, Tennessee, United States Buckman Full time

    Job Title: North America Quality Systems ManagerJoin Buckman as a North America Quality Systems Manager, responsible for ensuring the quality systems in North America meet global standards and drive world-class product consistency.Key Responsibilities:Develop and implement quality systems and processes to ensure compliance with global standards.Conduct risk...

Coding Quality Auditor

3 months ago

Memphis, United States Houston Methodist Full time

At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional duties include participating in quality review and performance improvement projects throughout the department and/or facility.

PEOPLE ESSENTIAL FUNCTIONS
  • Interacts and communicates effectively with members of the coding team and HIM, physicians, CDMP nurses, IT, Quality Operations, Case Management, Patient Access and Business Office.
  • Participates and provides good feedback during coding section meetings, coding education in-services, and coder/CDMP meetings. Takes initiative to assist others and shares knowledge with the coding group and business partners on official coding guidelines.

SERVICE ESSENTIAL FUNCTIONS
  • Responds promptly to internal and external customer coding/DRG requests. Responds promptly to Business Office requests to code or review coded accounts for accuracy. Identifies and anticipates customer requirements, expectations, and needs. Provides assistance to the leadership team or other coders with coding of the accounts or answering questions from other coders relating to coding and work flows.
  • Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG and APR-DRG assignment, sequencing of diagnoses and procedures, and coding and documentation training.
  • Assists with quality assurance (peer) reviews to ensure data integrity and accuracy of coding, identifies opportunities for improvements, and makes recommendations for optimal enhancements.
  • Assists Case Management and Patient Access Departments in providing appropriate CPT codes for pre-admission and pre-certification requirements including the inpatient only process. Assists in the development of documentation protocols for physicians. Represents the coding area in Hospital meeting/events when necessary (e.g., Performance Improvement Committees).

QUALITY/SAFETY ESSENTIAL FUNCTIONS
  • Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines.
  • Performs accurate, optimal DRG and APC assignment, in accordance with nationally established rules and guidelines based upon documentation within the medical record.
  • Reviews discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data.
  • Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system. Reviews medical record documentation and abstracts data into the encoder and Electronic Health Record (EHR) abstracting system to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures.
  • Assists with quality reviews of outpatient or inpatient accounts and/or training of new coders. Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.
  • Aggregates data from reviews and compiles reports for HIM management.

FINANCE ESSENTIAL FUNCTIONS
  • Utilizes time effectively. Consistently codes and abstracts at departmental standards of productivity while ensuring accuracy of coding. Ensures work flows and worklists are reviewed or monitored in order to identify old uncoded accounts or problem accounts.
  • Assists in making sure coding bill hold goal is met. Maintains coding timeframes within acceptable guidelines by ensuring all work items assigned to the coding queues and worklists are processed in a timely manner.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS
  • Critically evaluates her or his own performance, accepts constructive criticism, and looks for ways to improve. Displays initiative to improve relative to job function. Contributes ideas to help improve quality of coding data and abstracting data.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. EDUCATION
  • Associate's degree in a Commission on Acreditation in Health Informatics and Information Management accredited program required or additional two years of experience (in addition to the minimum experience requirements listed below) required in lieu of degree

WORK EXPERIENCE
  • Five years of coding experience relevant to the area auditing (e.g., inpatient, outpatient, professional fee)
LICENSES AND CERTIFICATIONS - REQUIRED
  • RHIT - Certified Health Information Technician (AHIMA) -- For inpatient/outpatient coding OR
  • RHIA - Registered Health Information Administrator (AHIMA) -- For inpatient/outpatient coding OR
  • CCS - Certified Coding Specialist (AHIMA) -- For inpatient/outpatient coding OR
  • CCS-P - Certified Coding Specialist Physician-based (AHIMA) -- For professional fee coding OR
  • CPC - Certified Professional Coder (AAPC) -- For professional fee coding

LICENSES AND CERTIFICATIONS - PREFERRED
  • AHIMA ICD-10 CM/PCS Trainer
KNOWLEDGE, SKILLS, AND ABILITIES
  • Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
  • Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
  • Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
  • Knowledge of an electronic medical record and imaging systems
  • Working knowledge of medical terminology, anatomy and physiology
  • Proficiency with electronic encoder application

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

  • Uniform No
  • Scrubs No
  • Business professional Yes
  • Other (department approved) No

ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.

  • On Call* No

TRAVEL**
**Travel specifications may vary by department**

  • May require travel within the Houston Metropolitan area Yes
  • May require travel outside Houston Metropolitan area Yes

Company Profile:

Houston Methodist is one of the nation’s leading health systems and academic medical centers. Houston Methodist consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston area. Houston Methodist also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, Houston Methodist employs more than 27,000 employees and is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care.

Houston Methodist is an equal opportunity employer inclusive of women, minorities, disabled persons and veterans.

Equal Employment Opportunity

Houston Methodist is an Equal Opportunity Employer.

Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor – priority referral Protected Veterans requested.