Coding Quality Auditor – Hospital Inpatient and Outpatient

Overview

Coding Quality Auditor – Hospital Inpatient and Outpatient

Children's Healthcare of Atlanta is seeking a Coding Quality Auditor – Hospital Inpatient and Outpatient. This role audits and reviews patient charts, applies ICD-10-CM and ICD-10-PCS codes, CPT-4 codes and modifiers, HCPCS codes, and related charges for appropriateness. Provides reports to management with findings and recommendations. Identifies areas for improvement to enhance internal controls and performance. Proactively supports efforts that ensure safe patient care and services and promotes a safe environment at Children’s Healthcare of Atlanta.

Works with the management team to educate Coding staff on coding and documentation compliance.

• Minimum of 5+ years hospital auditing experience

• High school diploma or equivalent
• Associates degree in Health Information Management or related field

Minimum of one of the following:

• Certified Coding Specialist (CCS)
• Certified Outpatient Coder (COC)
• Certified Inpatient Coder (CIC)
• Registered Health Information Technician (RHIT)
• Registered Health Information Administrator (RHIA)

• Advanced knowledge of classification and reimbursement systems (ICD-10 CM, ICD-10 PCS, MS-DRG, APR-DRG, Tricare DRG)
• Advanced knowledge of CPT, HCPCS, modifiers, ICD-10 CM, ICD-10 PCS coding
• Strong analytical, organizational, and communication skills

• Conducts chart audits for compliance assessment and establishes coding policy and procedure.
• Prepares a report of findings for each audit along with an action plan.
• Records and monitors corrections to the bill.
• Assists in designing continued education to address deficiencies.
• Plans and organizes work assignments to complete audits in an efficient manner.
• Identifies problem situations or inadequate charge reconciliation procedures.
• Clearly documents information to support findings and conclusions.
• Keeps appropriate management personnel informed of any problems or unusual circumstances on a timely basis.
• Facilitates improvement in the overall quality and completeness of medical records documentation.
• Provides documentation education.

Children’s Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.