Inpatient Coding Auditor Virtual

No detailed description available.

• Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently.
• Provides continuing education to individual coders and the coding staff concerning changes in the coding and reimbursement system and any weaknesses identified during the coding validation reviews.
• Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist, and effectively communicates with physicians and allied health personnel.
• Assists with writing compelling appeals to all DRG denials from outside agencies, referencing Official Coding Guidelines and Coding Clinic advice as appropriate to defend the DRG assignment and protect the organization's reimbursement.
• Serves as a resource to other departments in the Revenue Cycle to ensure business continuity and optimal revenue cycle management.
• Uses critical thinking and sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance.
• Prepares statistical reports conveying the individual and overall accuracy of coding.

• High School Grad or Equiv degree - Required
• 5 years of relevant work experience - Required
• Registered Health Information Administrator (RHIA) Required or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)

• Paid Days Off from Day One
• Student Loan Repayment Program
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support

We have more than 50 years of experience using innovative medicine to elevate health care in the Tampa region. We continue to make history every day through our clinical research program, which applies the latest advancements in medical technology to treatments that can be used today.