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Coding Quality Auditor (Remote)
Sarasota Memorial Healthcare System
Location: Sarasota, Remote
Work Setting: Hospital
Job Function: Coding – Auditor
Job Type: Full-Time
Introduction
Reputation. Community. Impact. Growth.
Every day, our patients at Sarasota Memorial Health Care System receive a first-class experience in care from a team on a mission to deliver the highest level of care in America. In the process of rising to that challenge, one by one, our people are finding their purpose and feeling their impact. Now it is your turn to see yourself here.
Job Description
Job Summary
Optimizes prospective payment reimbursement and facilitates data quality by creating consistency and efficiency in physician documentation, code assignment, data collection, and claims processing. Responsible for working with physicians, coders, ancillary department staff, CDI, and other allied health professionals to improve documentation of patient care and to appropriately assign codes and/or determine charges to support those services. Performs retrospective random and focused audits of coding cases to ensure accurate code application and overall coding quality. Performs pre-bill compliance audits to ensure accurate code assignment, application of coding guidelines, and compliance with external regulatory and accreditation requirements. Identifies solutions to improve the overall data quality of the health records and to assure that appropriate reimbursement is obtained for services provided.
*Remote opportunity but must live in Florida and be available for on-site training (approximately 4-6 weeks depending on experience).
Required Qualifications
For APC/DRG Auditor: – Require certification by American Health Information Management Association (AHIMA) as a Certified Coding Specialist (CCS) or certification by American Academy of Professional Coders (AAPC) as a Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC). – Require certification by AHIMA as a Registered Health Information Technician (RHIT)* or Bachelor’s level degree. *In lieu of certification, must be currently enrolled in an accredited HIM program. Must successfully pass the certification exam within six (6) months of program completion. For Senior APC/DRG Auditor: – Require certification by AHIMA as a Certified Coding Specialist (CCS) or certification by AAPC as a Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC). – Require certification by AHIMA as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). – Require a Bachelor’s degree in related field.
For APC/DRG Auditor: – Require three (3) years of inpatient or outpatient coding experience. For Senior APC/DRG Auditor: – Require five (5) years of inpatient or outpatient coding experience and three (3) years of coding auditing experience.
Preferred Qualifications
Prefer past auditing experience or strong training background in coding and reimbursement.
– Prefer comprehensive knowledge of the Prospective Payment System and other regulatory requirements and payment systems.
Education Qualifications
HS EQ: High School Diploma, GED or Certificate
Compensation/Benefits
The benefits of being the best:
Our commitment to becoming the best community hospital and health care system means providing the best possible benefits to our people. Some highlights:
Total Rewards Package
Paid Time Off (start earning PTO on day one of employment)
Tuition Reimbursement
Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
Flexible Spending Accounts (Health Care and Dependent Care) – Pre-Tax Dollars
Life Insurance
Disability Insurance
Retirement Savings Plan: 403b
Bereavement Leave
Free Parking
On Campus Dining w/ a 10% discount
Direct Deposit
Free Wellness Screening
Free confidential counseling services
Employee Discount Programs
Employee Recognition Programs
Generous Referral Programs
Tremendous growth opportunities for hard workers!
Instructions for Resume Submission
Please apply online – visit: https://careers.smh.com/careers/jobs/25686?lang=en-us
Apply Online: https://careers.smh.com/careers
Posted: May 25, 2023 at 1:15 PM
Post ID: 79054