Job Title:
Inpatient Coding Auditor II
Location:
Fully remote - Limited to candidates in OK, KS, MO, TX, and AR
Duration:
13 weeks
Shift/Schedule:
Monday–Friday; 40 hours/week, 8 hours/day.
Job Summary:
Inpatient Coding Auditor II position responsible for inpatient coding quality reviews, auditing, DRG validation, query compliance, coding staff support, training, mentoring, and maintaining coding accuracy and productivity standards.
Job Responsibilities:
Perform peer-to-peer auditor reviews and audit auditor quality reviews.
Review query compliance and quality, and provide feedback as appropriate.
Respond to coding-related questions from internal and external coding staff.
Initiate the rebilling process as required by policy for special projects.
Identify and share data-driven workflow adaptations to reduce errors and improve coding efficiency.
Assist in developing tip sheets and training materials for coding and auditing staff based on:
Analysis of coder error trend data.
Annual code set and guideline updates, and quarterly coding clinics.
Updated workflows and facility-specific policies.
Meet all educational requirements as outlined in current Company policy.
Perform coding quality reviews for inpatient coding across client, including routine monthly reviews, focus pre-bill reviews, CDI reconciliations, and second-level review work queues.
Assist with onboarding new employees by providing workflow and process training, assessing pre-production work, delivering feedback, and mentoring employees through their transition to full production.
Communicate directly with other teams and departments to resolve issues related to account reviews and code/DRG validation.
Maintain or exceed established productivity and accuracy standards to support team performance, data integrity, and organizational objectives.
Coach and mentor coding staff in developing and enhancing their skills.
Review official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to ensure coding knowledge and skills remain current.
Perform other duties as assigned.
Education:
High School diploma or GED.
Licensure & Certifications:
RHIA, RHIT, CCS, CPC, or CIC.
Required Skills & Experience:
At least 4 years of Hospital/facility Inpatient Coding experience including Principal Diagnosis selection, DRG Assignment, Secondary diagnosis coding, Procedure coding using ICD 10-PCS.
Experience coding Inpatient Accounts with DRG assignment from Neurosurgery, Cardiothoracic, Orthopedic, and General/Oncology Surgery
Experience with querying physicians for clarification
At least 1 year of Inpatient Hospital-based coding Auditing/DRG Validation experience including Validation of principal diagnosis and principal procedure, Accuracy/quality check review of diagnostic and PCS procedure codes, Validation of account abstraction
Extensive IP Coding acute care and trauma coding experience.
Academic Medical Center and Trauma Center experience preferred.
Pre-employment IP Coding and Auditing assessments required before interview.
Outpatient Facility and Professional Coding for Inpatient Admissions is not an acceptable substitute for IP experience.
EPIC is used with Solventum/3M 360 and MS-DRGs and APR-DRGs.
Contingent employee must have sufficient, stable internet access for use of multiple applications.