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HIM Coding Auditor
St. Tammany Health System

Location: Covington, Louisiana
Work Setting: Hospital
Job Function:
Job Type:
Salary Range: Starting at $29.55/hr


At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system.

We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste.

Job Description

The Coding Auditor is responsible for performing pre-bill and retrospective medical record audits to ensure accurate Medicare MS-DRG/APC assignment and ICD-10-CM/PCS and CPT coding on inpatient and/or outpatient cases in accordance with facility and Official Coding Guidelines. Provides guidance on documentation requirements, queries and documentation improvement processes.

In addition, the Auditor is responsible for maintaining concise documentation of audit findings for each coder throughout the year to ensure accurate reporting to Department Head and Compliance Committee as appropriate.  Responsible for communicating and developing educational information based on audit findings clearly outlining areas of opportunity for coders, physician documentation, documentation specialist and other areas as deemed appropriate.

Required Qualifications

Certified Coding Specialist (CCS) required. Minimum of 7-10 years inpatient coding or auditing experience. Knowledge of Medicare, Medicaid and other third party payer documentation, coding and billing regulations. Knowledge of clinical pertinence and the impact it has on the documentation process as a whole. Ability to set priorities and meet deadlines. Requires critical thinking skills, decisive judgment and the ability to work with minimum supervision. Strong analytical skills to clinically review and evaluate medical record documentation. Experience with working in an Electronic Medical Record (EMR). Proficient in utilizing Microsoft Products to develop education material for coders and physicians (Excel, Word, PowerPoint, Outlook). Strong written and verbal communication skills to effectively present audit findings in clear and concise terms to Senior Leadership, physicians, coders and other hospital personnel.

Preferred Qualifications

Registered Health Information Administration (RHIA) or Registered Health Information Technician (RHIT), preferred

Education Qualifications

A Bachelor’s degree in Health Information Management required or Bachelor’s degree in a related field may be substituted in lieu of a degree in Health Information Administration with extensive experience in performing medical record coding audits for acute care hospitals.

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Posted: May 4, 2021 at 3:40 PM
Post ID: 60559

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