Virtual HIM Inpatient Coding Auditor I

21 hours ago


Dallas, Texas, United States Parkland Health Full time
About the Role

Parkland Health is seeking a highly skilled and detail-oriented Virtual HIM Inpatient Coding Auditor I to join our team. As a key member of our coding compliance team, you will play a critical role in ensuring the accuracy and completeness of clinical and financial information reported for billing of hospital services.

Key Responsibilities
  1. Conduct Quality Reviews: Conduct quality reviews on all coders using official coding guidelines as published in AHA Coding Clinic and AMA CPT Assistant, and hospital policy, including specific payer guidelines, rules, and regulations.
  2. Analyze Medical Records: Analyze medical record documentation to assure that coding and abstracting of data is in compliance with official coding guidelines as published in the American Hospital Association's Coding Clinic for ICD-9-CM and the American Medical Associations CPT Assistant.
  3. Stay Up-to-Date on Regulations: Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area. Provide input as requested to assist in the development of effective internal controls that promote adherence to applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans.
  4. Assist in Ensuring Data Accuracy: Assist in ensuring that abstracted coded data and other elements are correct and appropriate. Assist in ensuring that data being submitted to state/federal and other regulatory agencies is correct and appropriate.
  5. Maintain Positive Working Relationships: Maintain a positive working relationship with physicians, nurses, medical staff, and hospital employees to ensure that all work-related encounters are productive.
  6. Identify Process Improvements: Identify ways to improve work processes and improve customer satisfaction. Make recommendations to supervisor, implement, and monitor results as appropriate in support of the overall goals for the department and Parkland.
Requirements
  • Education: Must be a graduate of a Health Information Management program or must have successfully completed an approved Coding educational program.
  • Experience: Must be a Registered Health Information Administrator (RHIA) plus four years of review/coding experience; OR must be a Registered Health Information Technician (RHIT) plus six years of review/coding experience; OR must be a Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), or Certified Professional Coder-Hospital (CPC-H) with eight years of review coding experience.
  • Certification/Registration/Licensure: Must be a Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician (CCS-P), or Certified Professional Coder (CPC), or Certified Professional Coder-Hospital (CPC-H).
  • Skills or Special Abilities: Must be able to demonstrate time management, organizational, oral and written communication skills. Must be proficient and demonstrate an advanced knowledge in ICD-9-CM and CPT/HCPCS coding and abstracting and have an advanced clinical knowledge of medical terminology, disease process, and pharmacology.


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