Lead Inpatient Coding Auditor

1 week ago

Washington, United States Accuity Full time
About the Role
Accuity is seeking a highly skilled Lead Inpatient Coding Auditor to join our team. As a key member of our quality assurance department, you will be responsible for ensuring the accuracy and integrity of coding practices across our organization.

Job Summary
The Director of Quality Assurance and Auditing will provide leadership and oversight to our QA Specialist team, including interviewing, selecting staff, training, and developing opportunities. This role involves identifying training needs, delivering training from both on-boarding and cross-training perspectives, and ensuring staffing models and team structure are accurate based on volume and productivity expectations.

Responsibilities
This role encompasses a wide range of responsibilities, including:
  • Leading the management of quality programs, policies, practices, and resources.
  • Directing work assignments of system-wide QA staff and adjusting as needed based on schedules, volumes, and access.
  • Managing QA team quality, monitoring productivity levels, and turn-around times.
  • Assessing current QA personnel productivity standards and developing a strategic plan to improve organizational effectiveness.
  • Overseeing QA staff employee files, timecard approvals, and tracking performance information to successfully provide feedback and complete annual performance evaluations.
  • Implementing improvement measures that enhance overall quality and client satisfaction.
  • Designing and developing QA curriculum, programs, learning materials, and collateral based on industry design standards.
  • Identifying patterns, trends, and variations in coding and other types of data and taking appropriate steps in collaboration with appropriate departments to affect resolution or explanation of the variance.

Requirements
To be successful in this role, you will need to possess the following qualifications and experience:

Education
A Bachelor's or Graduate degree in Healthcare Administration, Health Information Management, or a related field is preferred, while an Associate's degree in the same fields is required.

Certifications/Credentials
Coding credential from AHIMA/AAPC (RHIA, RHIT, CCS, and/or CPC or CIC) is required, with CDIP or CCDS being preferred, and AHIMA ICD-10/PCS trainer certification also preferred.

Experience
You must have at least 10 years of recent experience in the Health Information Management (HIM) field, with a minimum of 5 years in Inpatient coding experience and 5 years of experience in Inpatient coding auditing. Additionally, you should have extensive knowledge of Coding Compliance and Standards for Ethical Coding, along with a strong understanding of MS and APR-DRG models, ICD-10-CM, and ICD-10-PCS.

Skills and Abilities
The ideal candidate will have a preference for action-oriented solutions, be process-oriented and data-driven, and possess excellent analytical and problem-solving skills. They should also be able to manage team and individual performance effectively, with strong written and verbal communication skills and the ability to consistently and accurately audit coding of inpatient encounters.

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