What are the responsibilities and job description for the Hospital Inpatient Coding Auditor Compliance Edits position at Franciscan Health?
The Inpatient Coding Auditor Compliance Edits utilize the coding compliance edits identified by prebill coding compliance software to review medical records. The purpose of the reviews are to ensure compliance with reimbursement methodologies, quality standards, and official coding guidelines.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
Evaluates prebill hospital inpatient coding compliance edits to ensure compliance with payer reimbursement methodologies and official coding guidelines. Summarizes quality review results for Coding Managers, Supervisors, Coding Educator, and coding staff; Participates in team meetings with coding personnel when necessary to discuss coding findings.
Meets defined coding productivity standards
Serves as the subject matter expert with regards to diagnosis and procedure codes, coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payer specific guidelines, public reporting of outcomes, quality of patient care outcome measures, and the interpretation of coded data as it relates to revenue cycle compliance. Remains current with coding and industry changes through participation in educational opportunities to maintain credentials. Applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability.
Collaborates with coding leadership in the development and/or implementation of audit/monitoring plans.
Provides details specific to audit trends to the Coding Educator for preparation of ongoing education. Notifies coding leadership of trends and topics for education and feedback to coders, physicians, and departments.
Assists with identification and implementation of process improvements according to industry best practice standards to make the best use of resources, decrease costs and improve coding services across the specialized service lines.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders and adheres to official coding guidelines.
QUALIFICATIONS
High School Diploma - Required
Associate's Degree - Preferred
5 years coding experience relevant to auditing specialty - Required
CCS or RHIT/RHIA - Required
TRAVEL IS REQUIRED:
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
Salary : $48,838 - $72,665
