McLaren Health Care Coding Auditor Facility in Shelby Township, Michigan
Responsible for completing
quality assurance audits on:
Inpatientcoding specialists, onboarding audits and training of newly hired coding specialists,validating the coding specialist is accurately abstracting data intomedical record systems, following the Official ICD-10-CMand ICD-10-PCS Guidelines for Coding, UHDDS guidelines, and CMSdirectives. Validates Present on Admission (POA) indicators accordingto AHA POA guidelines and identifies any missing or inappropriate queriesto providers or
Outpatient coding specialists,onboarding audits and training of newly hired coding specialists,validating the coding specialist is accurately abstracting data intomedical record systems, following the Official ICD-10-CM coding guidelinesand relevant federal regulations using current CPT-4, HCPCS II, and ICD-10CM materials, the Federal Register, CMS and other pertinent materials.Understandpayment methodologies, outpatient facility coding and billing, APCassignment, and OPPS reimbursement methodology and shares this knowledgewith colleagues and clinical team members.
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.
Associates degree in HIT or related healthcare field.
One year of Inpatient or Outpatient Coding experience.
Three years Audit Experience
RHIT (Registered Health Information Technician (AHIMA) or CCS(Certified Coding Specialist (AHIMA) Certifications required
- PriorAudit Experience
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Job: Non-Health Professional
Primary Location: Michigan-Shelby Township-McL Central Bus Office
Organization MHC00-McLaren Health Care
Employee Status Regular
Shift Day Job
Job Type Standard
Req ID: 20009130