Coding Auditor, Remote, Health Information Management, FT, 8A-4:30P
Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact - because when it comes to caring for people, we're all in. Description The primary purpose of this position is to impart continuous education to Coding Staff. Additionally, this individual will be responsible for complex audits of clinically coded data to assess coding quality for accuracy, completeness, and consistency. This individual will serve as an expert in Outpatient Prospective Payment System or Inpatient Prospective Payment System. Responsible for independently reviewing coded data quality through ongoing analysis and evaluation of outpatient or inpatient records. Performs con-current audits on accuracy of APC, ASC or MS-DRGs as well as on quality of medical record documentation needed for accurate coding. Prepare reports, and performs constant tracking and trending of audit results as well as prepare presentations for Coding Staff education. Works with HIM coding management in preparing education and training for coders, clinical department and/or physicians for documentation improvement on a monthly, quarterly and on an as needed basis. Create consistency and efficiency in outpatient or inpatient claims processing and data collection to optimize APC, ASC or DRG reimbursement. Estimated pay range for this position is $31.20 - $40.56 / hour depending on experience. Qualifications: The primary purpose of this position is to impart continuous education to Coding Staff. Additionally, this individual will be responsible for complex audits of clinically coded data to assess coding quality for accuracy, completeness, and consistency. This individual will serve as an expert in Outpatient Prospective Payment System or Inpatient Prospective Payment System. Responsible for independently reviewing coded data quality through ongoing analysis and evaluation of outpatient or inpatient records. Performs con-current audits on accuracy of APC, ASC or MS-DRGs as well as on quality of medical record documentation needed for accurate coding. Prepare reports, and performs constant tracking and trending of audit results as well as prepare presentations for Coding Staff education. Works with HIM coding management in preparing education and training for coders, clinical department and/or physicians for documentation improvement on a monthly, quarterly and on an as needed basis. Create consistency and efficiency in outpatient or inpatient claims processing and data collection to optimize APC, ASC or DRG reimbursement. Estimated pay range for this position is $31.20 - $40.56 / hour depending on experience.Degrees:
- High School,Cert,GED,Trn,Exper.
Additional Qualifications:
- If not CCS or RHIT certified upon hire they must obtain within 2 years.
- Prefer bachelor's degree in health information management or equivalent.
- Prefer AHIMA approved ICD10CM/PCS trainer.
- Proficient in ICD10CM/PCS, CPT4, and HCPCS coding conventions and guidelines, encoder and National and Local Coverage Determinations.
- Proficient in MS Word, Excel and PowerPoint.
Minimum Required Experience: 2 YearsDegrees:
- High School,Cert,GED,Trn,Exper.
Additional Qualifications:
- If not CCS or RHIT certified upon hire they must obtain within 2 years.
- Prefer bachelor's degree in health information management or equivalent.
- Prefer AHIMA approved ICD10CM/PCS trainer.
- Proficient in ICD10CM/PCS, CPT4, and HCPCS coding conventions and guidelines, encoder and National and Local Coverage Determinations.
- Proficient in MS Word, Excel and PowerPoint.
Minimum Required Experience: 2 Years Apply tot his job Apply To this Job