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Hospital Coding Auditor
Baptist Health Care
Remote, USA
Full-time
Senior · 5+ years experience
Remote
Discovered 1 weeks ago
Free
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Responsibilities
- Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable. Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts. Receives requests from business office on issues relating to coding and responds within 5 working days, if possible. Reviews discharge summaries for coding accuracy. Assists in identification of potential identity errors. Coding Clinics are reviewed and applied appropriately.Assist in other duties as assigned to support the operational needs of the department and organization. May be required to remain on campus immediately before, during, and after severe weather and/or disasters.
Qualifications
- Minimum Education
- Technical Diploma/Certificate Coding Required
- Minimum Work Experience
- 5 years Inpatient and/or outpatient coding experience Required
- Experience in regulatory issues related to Medicare, and other third party payers as it relates to hospital and ambulatory coding and billing. Required
- Licenses and Certifications
- Certified Coding Specialist (CCS_AHIMA) Required or
- Certified Professional Coder (CPC_AAPC) Required or
- Certified Coding Associate (CCA_AHIMA) Required
Company
Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.
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