Coding Audit Manager

2 weeks ago


Baltimore, Maryland, United States University of Maryland Medical System Full time
Job Description

Company Overview
The University of Maryland Medical System (UMMS) is a leading academic private health system dedicated to providing high-quality, compassionate care while integrating discovery and innovation into clinical practice. Partnering with esteemed educational institutions, UMMS serves as a vital network of care, delivering a significant portion of hospital services across diverse communities in Maryland.

Position Overview
The Manager of Coding Audits is responsible for overseeing auditing processes across all facilities to ensure adherence to health system standards and compliance with regulatory bodies such as OIG, HSCRC, CMS, NCCI, and OCG. This role entails the comprehensive evaluation of coding staff, auditors, and Clinical Documentation Improvement (CDI) personnel to promote coding accuracy and enhance documentation practices.

Key Responsibilities

  • Coordinate and conduct audits to assess compliance with established guidelines.
  • Collaborate with the Coding Manager and Training Manager to develop and implement Performance Improvement Plans (PIP).
  • Engage with CDI teams to ensure alignment with compliance standards and identify areas for documentation enhancement.
  • Ensure all auditing personnel complete necessary departmental training before engaging in auditing activities.
  • Participate in Coding Roundtable (CRT) discussions to share insights and best practices.

Qualifications

  • Associate's degree in Health Information Technology or a related field, or equivalent experience (7 years). A Bachelor's degree is preferred.
  • A minimum of 5 years of experience in coding inpatient and outpatient hospital medical records.
  • At least 3 years of supervisory or management experience in the coding sector, with 5 years of auditing experience.
  • Experience managing multi-facility departments is preferred.
  • Possession of one of the following certifications: Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), AHIMA Approved ICD10CM/PCS Trainer, Certified Clinical Documentation Specialist (CCDS), or Certified Documentation Improvement Practitioner (CDIP).
  • Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) certification is preferred.

Skills and Abilities
The ideal candidate will possess strong analytical and organizational skills, with the ability to manage filing systems, prioritize tasks, and meet deadlines under pressure. Excellent customer service skills, familiarity with basic medical terminology, and proficiency in computer operations are essential. The candidate should also demonstrate problem-solving abilities and the capacity to work independently.

Additional Information
All personal information will be kept confidential in accordance with EEO guidelines.


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