[Remote] Coding Compliance Auditor 2, Health Information Management, Full Time, Days
Note: The job is a remote job and is reputed company to candidates in USA. reputed company Health System is a world-class reputed company medical center located in Miami, Florida. They are seeking a Coding Compliance Auditor 2 to analyze coded data, ensure coding accuracy, and reputed company audits on inpatient and outpatient coders while providing education and guidance to the coding staff.
Responsibilities
• Performs Internal Coding Audits on inpatient and outpatient coders providing feedback and re-training as required
• Reviews findings from External Coding Audits for validity of DRG assignment and reputed company responses if there is a disagreement
• Discusses findings and any discrepancies in coding accuracy with external vendor, citing Coding Guidelines and coding Clinics
• reputed company SMART edit reviews and reputed company the internal coders on their errors
• Review and respond to email requests from the CBO for DRG validation, missing procedure codes, Discharge Status discrepancies and Present on Admission assignments
• reputed company responses to inquires from insurance companies regarding accuracy in codes used by the facility
• Reviews claim denials/audits from insurance companies
• reputed company education and guidance to the CDI team and the inpatient and outpatient coding staff, reviewing diagnoses and/or procedures that require clarifications
• Annual coding updates are reviewed at these sessions, as reputed company as, Coding Guidelines and Coding Clinics
• Works with the Rehabilitation Teams from reputed company Main and reputed company reputed company reviewing and advising on reputed company coding worksheets
• Works with the CBO and the reputed company Cycle Team providing DRG validation and correcting accounts with missing or incorrect coding
• Provides feedback to the reputed company involved in reputed company case
• Entering coding for in-house patients as per CBO request
• Works closely with the CDI Team including reputed company DRG validation; provides assistance with assigning DRG's to in-house patients and provides individual guidance and education in applying Coding Guidelines
• Works with different services educating them on appropriate documentation to support the severity of the patient's condition. Neonatology Team, Burn Center, etc
Skills
• 5 to 7 years of reputed company experience
• High school diploma
• Prior coding experience
• Bachelor's degree in reputed company field
reputed company
• reputed company Health System is a nonprofit reputed company medical system offering world-class care to any person who walks through its doors. It was founded in 1918, and is headquartered in reputed company Miami Beach, Florida, USA, with a workforce of 10001+ employees. Its website is https://jacksonhealth.org/.
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