Inpatient Hospital Coding Auditor, Remote, Baptist Metro Square

Inpatient Hospital Coding Auditor, Remote, Baptist Metro Square Baptist Health System, Inc. Jacksonville, FL Job Details Full-time 13 hours ago Qualifications Inpatient RHIA Bachelor of Science Healthcare documentation compliance audits Medical billing compliance checks Mid-level RHIT Quality control audit Audit Reporting Retrospective medical coding audits Bachelor's degree Medical denial trend identification Certified Coding Specialist Health information management Quality audits Epic Clinical documentation standards Healthcare claims compliance audits DRG Quality assurance within healthcare Full Job Description About Baptist Health Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as "most preferred" for more than 30 years. We're Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital. Baptist Medical Center Jacksonville is currently hiring for a Full-time Inpatient Hospital Coding Auditor to join our Appeals & Denials Department at Baptist Metro Square! This candidate will perform retrospective and concurrent Quality Assurance audits of Inpatient encounters for accuracy and compliance, appropriate MS-DRG and APR-DRG with adherence to the Official Coding Guidelines for Coding and Reporting utilizing ICD-10 CM and PCS classification. Identify areas of educational opportunities, tracking audits received for purposes of trending and providing feedback to Coding Leadership. Auditing will include scope of both government and commercial payors including but not limited to

RAC, ACHA.

For more than 25 years, health care consumers have named Baptist Health the "most preferred healthcare provider" in the region. At Baptist Health, we are proud to be local, providing multigenerational care to our community. We are the hospital Jacksonville trusts the most. Our employees can take pride in their Baptist Badge, knowing the impact they make on their friends, family, and neighbors. Baptist was recently recognized by Forbes magazine as one of America's top employers for diversity. The Inpatient Hospital Coding Auditor Responsibilities include: Performing inpatient coding audits (DRG) related to payer audits. Auditing prior billed codes to ensure clinically validated Accurate coding based on established guidelines Performing coding updates in both legacy and EPIC environments as applicable Identifying audit trends and providing insights and education to Clinical Denials Audit and Analysis and Clinical Documentation Integrity leadership. Auditing will include scope of both government and commercial payors including but not limited to RAC, AHCA, and commercial DRG Audits.

Education and Certification Requirements:

Associate of Science Required Bachelor of Science (non Nursing) Preferred Certified Coding Specialist (CCS)

• AHIMA Registered Health Information Technician
• AHIMA Registered Health Information Administrator

• AHIMA Experience Requirements:

  3-5 Years Auditing Experience 3
• 5 Years Coding Experience 3-5 Years Knowledge of State and Federal Requirements Candidate must reside in the following approved states: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia, Wyoming.

If you are interested in this opportunity, please apply today!

Primary Location:

Metro Square

• 3728