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Coding Auditor - Inpatient

BayCare Health System • Remote • Posted 2 days ago

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Remote • Full-time • Senior Level

Job Highlights

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The Inpatient Coding Auditor is a full-time remote position responsible for performing inpatient encounter audits, evaluating compliance activities, and ensuring accurate and complete coding of diagnoses, procedures, and surgeries. This role involves direct interaction with coders, clinical personnel, and physicians, utilizing official coding references to ensure compliance with coding guidelines. The position requires residing in Florida, Georgia, or North Carolina.

Responsibilities

  • Performs inpatient encounter audits and evaluates compliance related activities and services provided by the BayCare Health System HIM Coding Department.
  • Interacts directly with coders, clinical documentation specialists, and/or physicians.
  • Audits include documentation and accurate and complete coding of diagnoses, present on admission (POA), procedures/surgeries, and discharge disposition while utilizing ICD-10-CM and ICD-10-PCS guidelines and other official coding references to ensure accurate coding including CMS, Federal Register, Official ICD-10-CM and ICD-10-PCS guidelines, AHA Coding Clinic, etc.
  • Performs special audits for specific issues within facility Inpatient claims.
  • Acts as the Liaison for coding issues with the BayCare Compliance Department while maintaining a database of all audits performed, action taken, outcome and resolution.
  • Provides feedback when coding changes are received and will serve as a resource for leadership within the facility HIM Coding departments.
  • Serves as a resource to the coding department for special projects.

Qualifications

Required

  • Must currently reside in Florida, Georgia, or North Carolina.
  • In-depth knowledge of Anatomy, Physiology, Pharmacology, and Pathophysiology related to auditing position.
  • Proficiency in MS Access Database, MSWord and MS Excel.
  • Knowledge of regulatory standards and official guidelines appropriate to position.
  • Meeting facilitation skills.

Preferred

  • RHIA/RHIT in conjunction with CCS certification.
  • RN, CDIP, CCDS, or clinical degree.
  • Associate's degree (preferred) or bachelor's degree (preferred).
  • 3 years of experience with 3M 360.

About BayCare Health System

BayCare is a not-for-profit health care system that operates 16 hospitals and numerous locations in Tampa Bay and central Florida. They offer a wide range of medical services including primary care, pediatric care, cancer treatment, orthopedics, and more. BayCare also provides telehealth services through their BayCareAnywhere® app for live video consultations with physicians 24/7, ensuring convenient access to quality care.

Full Job Description

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.

**Position Details:**

+ **Location:** Fully Remote (must reside in the State of Florida, Georgia, or North Carolina)

+ **Status:** Full Time (non-exempt)

+ **Shift:** 7:00 AM to 3:30 PM

+ **Days:** Monday - Friday

The **Inpatient** **Coding Auditor** is a full-time remote position. This team member must currently reside in Florida, Georgia, or North Carolina.

**Responsibilities**

+ The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities and services provided by the BayCare Health System HIM Coding Department.

+ Interacts directly with coders, clinical personnel including Clinical documentation specialists, and/or physicians.

+ Audits include documentation and accurate and complete coding of diagnoses, present on admission (POA), procedures/surgeries, and discharge disposition while utilizing ICD-10-CM and ICD-10-PCS guidelines and other official coding references to ensure accurate coding including CMS, Federal Register, Official ICD-10-CM and ICD-10-PCS guidelines, AHA Coding Clinic, etc.

+ Performs special audits for specific issues within facility Inpatient claims.

+ Acts as the Liaison for coding issues with the BayCare Compliance Department while maintaining a database of all audits performed, action taken, outcome and resolution.

+ Provides feedback when coding changes are received and will serve as a resource for leadership within the facility HIM Coding departments.

+ Serves as a resource to the coding department for special projects.

+ **Additional required skills include:** In-depth knowledge of Anatomy, Physiology, Pharmacology, and Pathophysiology related to auditing position; MS Access Database, MSWord and MS Excel; Knowledge of regulatory standards and official guidelines appropriate to position; Meeting facilitation skills.

**Why BayCare?**

Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that is built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive in our forward-thinking culture, where we combine the best technology with compassionate service. We blend high-tech with high touch in ways that are advancing superior health care throughout the communities we serve.

**Certifications and Licensures**

+ Required - RHIA/RHIT in conjunction with CCS

+ Preferred - RN, CDIP, CCDS, or clinical degree

**Education**

+ Required - associate's degree

+ Preferred - bachelor's degree

**Experience**

+ Required - required experience includes a minimum 10 years of Inpatient coding experience within a large multi-facility inpatient setting, minimum 10 years of Inpatient auditing experience within a large multi-facility inpatient setting.

+ Preferred - experience includes 3 years of experience with 3M 360.

Equal Opportunity Employer Veterans/Disabled

**Position** Coding Auditor - Inpatient

**Location** North Carolina | Business and Administrative | Full Time

**Req ID** null