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Coding Auditor - Hospital Inpatient Compliance Edits (1.0 D)

Role overview

Qualifications

  • Associate's Degree in Health Information Management - Preferred
  • Bachelor's degree in Health Information Management - Preferred
  • High School Diploma/GED - Required
  • 5 years Coding Experience relevant to auditing specialty with CCS - Required

Responsibilities

  • Review, research, and respond to coding inquiries from other Franciscan departments.
  • Integrate current industry changes into a clinical audit practice setting.
  • Act as a subject matter expert regarding payer reimbursement methodologies and official coding guidelines.
  • Assist Coding Supervisor with reviewing and responding to external coding audits.

Key facts

  • Remote from: United States
  • Full time
  • Senior (5-10 years)
  • Auditor
  • English

Hard skills

Other skills

  • Detail Oriented
  • Communication
  • Research

About the company

Franciscan Health logo

Franciscan Health

Hospitals & Health Care

The Franciscan Alliance healthcare ministry began in Lafayette, Ind., in 1875. Today, Franciscan Alliance is one of the largest Catholic health care systems in the Midwest with 12 hospital campuses in Indiana and Illinois, approximately 20,000 employees and a number of nationally recognized Centers of Health Care Excellence. Hospitals include: Franciscan Health Crown Point, Franciscan Health Michigan City, Franciscan Health Crawfordsville, Franciscan Health Lafayette East, Franciscan Health Indianapolis, Franciscan Health Carmel, Franciscan Health Rensselaer, Franciscan Health Mooresville, Franciscan Health Hammond, Franciscan Health Dyer, Franciscan Health Munster and Franciscan Beacon Hospital in Indiana; and Franciscan Health Olympia Fields in Illinois. For more information, visit FranciscanHealth.org. With more than 850 primary and specialty care providers at over 260 locations in Indiana and Illinois, Franciscan Physician Network is one of the largest and most respected multi-specialty physician networks in the Midwest providing convenient, comprehensive care.

Company details

Company typeXLarge
IndustryHospitals & Health Care
Company size10001

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Job description

Work From HomeWork From Home Work From Home, Indiana 46544

Good learners. Accurate reviewers. Our Coding Auditors are an important part of the health information team. Ensuring development and implementation of coding strategies across the system is a big part of the job. The other part? Being able to follow state and federal compliance regulations. Policy and procedure development, standardization of coding operations, analyzing coding quality and performing chart reviews. This job has it all.

WHO WE ARE
With 11 ministries and access points across Indiana and, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.


WHAT YOU CAN EXPECT

  • Review, research, and respond to coding inquiries from other Franciscan departments.

  • Integrate current industry changes into a clinical audit practice setting.

  • Act as a subject matter expert regarding payer reimbursement methodologies and official coding guidelines.

  • Assist Coding Supervisor with reviewing and responding to external coding audits.

  • Perform quality reviews to ensure compliance with payer reimbursement methodologies and official coding guidelines.

  • Provide audit results and trends to the Coding Education Specialists for education development and training.

  • Summarize quality review results for Coding Managers, Supervisors, Coding Education Specialists, and coding staff.


QUALIFICATIONS

  • Associate's Degree in Health Information Management - Preferred

  • Bachelor's degree in health information Management - Preferred

  • High School Diploma/GED - Required

  • 5 years Coding Experience relevant to auditing specialty with CCS -
    Required

  • CCS (Certified Coding Specialist) - American Health Information Management Association (AHIMA) - Required -or-

  • RHIA (Registered Health Information Administrator) - American Health Information Management Association (AHIMA) - Preferred --or-

  • RHIT (Registered Health Information Technician) - American Health Information Management Association (AHIMA) - Preferred

TRAVEL IS REQUIRED:

Never or RarelyJOB RANGE:Coding Auditor Hospital Inpatient Compliance Edits $48838.40-$72664.80INCENTIVE:

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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