Inpatient Coding Auditor
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Job Description
Inpatient Coding Auditor ensuring compliance in medical coding and documentation at Tenet Health. Conducting audits, identifying errors, and collaborating with coding teams for accuracy and compliance.
Responsibilities:
- Perform regular audits of medical records, coding, and documentation to ensure accuracy and compliance with coding guidelines and regulations.
- Identify and investigate coding errors, inconsistencies, and potential compliance issues, and communicate findings to coding team members and healthcare providers.
- Collaborate with coding team members to provide education and training on coding guidelines, documentation requirements, and compliance regulations.
- Develop and implement corrective action plans to address identified coding errors, discrepancies, and compliance issues.
- Maintain comprehensive and accurate audit records, including documentation of audit findings, actions taken, and outcomes.
- Generate reports and metrics on coding accuracy, compliance rates, and audit results for management review.
- Stay updated on changes in coding guidelines, regulations, and industry trends through continuous education and participation in professional development activities.
- Provide support and guidance to coding team members in resolving complex coding scenarios and documentation queries.
Requirements:
- High school diploma or equivalent (Bachelor's degree preferred).
- Certified Professional Coder (CPC) or other coding certification required.
- Minimum of 3 years of coding experience in a healthcare setting.
- Strong knowledge of coding guidelines (e.g., ICD-10, CPT, HCPCS) and documentation requirements.
- Familiarity with regulatory requirements (e.g., HIPAA, Medicare, Medicaid) related to coding and documentation.
- Excellent attention to detail and analytical skills to identify coding errors and compliance issues.
- Strong communication and interpersonal skills to collaborate effectively with coding team members and healthcare providers.
- Proficient in using coding software, electronic health record (EHR) systems, and other relevant tools.
- Ability to adapt to changing coding guidelines, regulations, and organizational policies.
- Strong organizational and time management skills to prioritize and manage multiple audits and projects concurrently.
Benefits:
- Medical, dental, vision, disability, life, AD&D and business travel insurance
- Paid time off (vacation & sick leave)
- Discretionary 401k with up to 6% employer match
- 10 paid holidays per year
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
- For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act is available.
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