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Coding Compliance Auditor

1 month ago

Pasadena, United States Memorial Hermann Health System Full time

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.Job SummaryPosition responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager.Job DescriptionMinimum QualificationsEducation: High school diploma or GED, requiredLicenses/Certifications: One of the following licenses is required:Certified Coding Specialist (CCS), orCertified Inpatient Coder (CIC), orCertified Professional Coder (CPC), orRegistered Heath Information Technician (RHIT), orRegistered Health Information Administrator (RHIA)Experience / Knowledge / Skills:Minimum of three (3) years of hospital coding experience.Extensive knowledge of ICD-10-CM and CPT coding principles and guidelines.Extensive knowledge of 3M Coding applications and resolving coding edits.Working knowledge of reimbursement systems and regulations and policies pertaining to documentation, coding, and billing.Knowledge of database applications and spreadsheet design.Effective oral and written communication skills.Principal AccountabilitiesConducts regular coding audits and coordinates ongoing monitoring of coding accuracy, providing continuous feedback to coding staff.Develops and coordinates educational sessions to all coding staff regarding documentation and accurate coding.Serves as a resource for coding staff on organization-wide coding and documentation standards and guidelines.Designs audit tools to monitor the accuracy of clinical coding.Keeps abreast of coding guidelines and reimbursement reporting requirements.Conducts trend analyses to identify patterns and variations in coding practices.Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.Other duties as assigned.