Health Information Auditor
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Job Description
Health Information Auditor auditing medical coding accuracy and compliance for Saint Francis healthcare services. Monitoring coder performance, reimbursement data, reports, and regulatory requirements in Oklahoma.
Responsibilities:
- Ensure coding specialists are well-trained and up-to-date on regulatory requirements affecting coding compliance and hospital reimbursement
- Ensure coding data quality, accuracy, and timely submission to state, federal, and hospital data repositories
- Maintain current knowledge of coding rules and guidelines
- Serve as liaison with Patient Access and Patient Billing Services
- Continuously monitor the quality of coded data
- Perform monthly focused audits on all coders and maintain a 95% accuracy rate
- Randomly audit a percentage of each coder's work monthly for accuracy and compliance
- Audit focus DRGs based on outcomes to ensure regulatory compliance
- Ensure timely submission of coded accounts affecting hospital reimbursement
- Research outstanding accounts and ensure completion
- Assign and monitor Educode modules
- Train and orient new coders
- Assist with physician queries for documentation
- Review monthly POA reports and produce individual and cumulative monthly quality reports
- Educate coders on LCDs, clinical coding guidelines, and other regulatory guidelines
- Coordinate activities and lead others without supervision
Requirements:
- High School Diploma or GED required
- Certified Coding Specialist (CCS) required for facility coding or Certified Professional Coder (CPC) for professional coding
- Certified Professional Medical Auditor (CPMA) preferred
- 8 years related experience
- Ability to utilize related software and computer/PC skills
- Advanced knowledge of coding
- Excellent interpersonal, written and oral skills
- Ability to analyze data and produce reports using MS Office
Benefits:
- Full-time employment
- Monday-Friday day shift
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