Coding Quality Auditor – Hospital Inpatient

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Work Day(s)

Shift Start Time

Children’s is one of the nation’s leading children’s hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We’re committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children’s.

Experience

• Minimum of 5+ years hospital Inpatient auditing experience
• Knowledge of medical terminology, anatomy, and physiology

Preferred Qualifications

• Associates degree in Health Information Management or related field

Education

• High school diploma or equivalent

Certification Summary

Minimum of one of the following:

• Certified Coding Specialist (CCS)
• Certified Outpatient Coder (COC)
• Certified Inpatient Coder (CIC) Registered Health Information Technologist (RHIT)
• Registered Health Information Administrator (RHIA)

Knowledge, Skills, and Abilities

• Advance knowledge of classification and reimbursement systems (e.g., ICD-10 CM, ICD-10 PCS, diagnosis-related groups e.g. MS-DRG, APR-DRG, Tricare DRG)
• Advance knowledge of ICD-10 CM, ICD-10 PCS coding, and reporting
• Strong analytical, organizational, and verbal and written communication skills
• 3M CAC, and EPIC experience

Job Responsibilities

• Review and analyze medical records to ensure that DRG assignments accurately reflect the diagnoses/procedures documented in the clinical record.
• Prepares a report of findings for each audit along with an action plan.
• Records and monitors corrections to the bill.
• Assists in designing continued education to address deficiencies.
• Plans and organizes work assignments to complete audits in an efficient manner.
• Clearly documents information to support findings and conclusions.
• Keeps appropriate management personnel informed of any problems or unusual circumstances on a timely basis.
• Facilitates improvement in the overall quality and completeness of medical records documentation.

Children’s Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.