Inpatient Coding Auditor

HealthCare Resolution Services, Inc. is seeking an Inpatient Coding Auditor to work on-site at Brooke Army Medical Center in Fort Sam Houston, TX.

 

Job Description:

 

Performs routine auditing of coded inpatient medical records throughout the MTF to ensure accuracy and standards are being followed.  The employee shall be responsible for auditing a statistically significant amount of records to meet and maintain Data Quality improvement iniatives.  The Coding Auditor shall provide coding expertise to the MTF.

 

Duties:

 

- Complete quantitative/qualitative analysis of records to ensure all components of record are present and comply with JCAHO requirements by ensuring all documentation is present in appropriate format and sequence.

- Audit and review the coded record to ensure standards for accuracy are met and/or exceeded with sufficient documentation to support diagnosis and treatment administered.

- Clarify inconsistent, ambiguous, non-specific information by consulting the responsible medical practitioner. Correct inappropriate coding in the record and CHCS in accordance with ICD-9, CPT, and HCPCS guidelines and discuss error with physician.

- Present reports of audits to the MTF Data Quality Manager (DQM) on a regular basis, and as requested by the DQM, HQ AETC, HCRS, trainers or others.

- Provide technical advice to professional staff relative to the best method of recording diagnosis and operations as well as checking the accuracy and completeness of third-party billing in order to ensure maximum reimbursement potential.

 

** A more detailed job description is available upon request

Requirements

Must be certified by AAPC or AHIMA as a RHIT, RHIA, CCS, CPC, CPC-H and have at least 5 years experience

Work hours are M-F, 8 hour day shift.  We offer full benefits: health, vision, dental, 401K, 529 plans and more!

If you are interested in this position, please apply online http://www.hcrs-inc.com/openings.html. 

EOE/AA