HIM coding auditor/trainer responsible for coordinating, monitoring, and auditing documentation and coding for inpatient and outpatient services across applicable health care settings.
The role focuses on correct assignment of CPT, ICD-10, ICD-9-CM, and HCPCS codes, along with clinician documentation, to ensure compliance with regulatory guidelines and internal controls. Audits cover internal practitioners, contracted practitioners, coders, internal facilities, and contracted facilities.
Responsibilities include analyzing audit results, identifying patterns and trends in coding and documentation practices, recommending improvements, and initiating corrective action plans when needed. The position also serves as a liaison with HIM staff, Revenue Cycle, external and internal practitioners, and other departments as appropriate.
Experience
- Minimum 4 years of inpatient coding experience in an acute care setting
- Experience with ICD-10, ICD-9-CM, CPT4, HCPCS, UHDDS definitions, and related documentation requirements
Education
- Bachelor's degree in healthcare, health information management, or related field; or 4 years of directly related experience
Certification
- Certified Coding Specialist (CCS)
- Registered Health Information Administrator (RHIA)
- Certified Professional Coder (CPC)
- Registered Health Information Technician (RHIT)
Additional qualifications
- Proficient understanding of IPPS, OPPS, MS-DRGs, National Correct Coding Initiative edits, ICD-CM Official Guidelines for Coding and Reporting, and Coding Clinic
- Working knowledge of federal and state regulations, Medicare guidelines, and compliance issues
- Advanced understanding of medical terminology, pharmacology, anatomy, physiology, and disease processes
- Demonstrated skill in data collection, statistical analysis, and interpretation
- Strong oral and written communication, problem solving, analysis, project management, quality management, systems thinking, and customer service skills
- Proficiency with word processing, spreadsheet, and database applications
Location
Hawaii, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$79,500 - $93,500
Remote work allowed
No
Posted
3 weeks ago