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HIM Coding Auditor/Educator

Role overview

Summary

The HIM Coding Auditor/Educator role focuses on enhancing coding quality and education at Cook Children’s. You will lead the development of training programs and conduct quality reviews to ensure compliance with coding guidelines, serving as a knowledge expert in ICD-10-CM/PCS and CPT-4 classification systems.

Qualifications

  • Three years of inpatient and outpatient coding experience with 1 year auditing experience.
  • Bachelor’s Degree in HIM, Business or related field.
  • Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or CCS certification.
  • Strong knowledge of coding regulations and regulatory compliance experience.
  • Preferred: In lieu of education requirements, 5 years inpatient and outpatient coding experience with two years of auditing experience.

Responsibilities

  • Develop coding education and training programs based on audit findings and regulatory updates.
  • Perform inpatient and outpatient coding quality reviews to validate accurate DRG assignment and diagnoses.
  • Analyze coding quality trends to identify knowledge gaps and improve coding practices.

Key facts

Hard skills

About the company

Cook Children's Health Care System logo

Cook Children's Health Care System

  • Hospitals & Health Systems
  • XLarge
  • 5,001–10,000
Cook Children's Health Care System embraces an inspiring Promise – to improve the health of every child in our region through the prevention and treatment of illness, disease and injury. Based in Fort Worth, Texas, we’re proud of our long and rich tradition of serving our community.

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Job description

Location:

Remote - TX

Department:

HIM-Coding

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

The HIM Coding Auditor-Educator serves as a knowledge expert and leader for ICD-10-CM/PCS and CPT-4 classification systems coding quality and education.  Develops, coordinates, and maintains coding education and training programs based on audit findings, regulatory updates, identified knowledge gaps, and coding quality trends. Performs and analyzes inpatient and outpatient ICD-10-CM/PCS and CPT coding quality reviews to validate accurate DRG assignment, Severity of Illness, Present on Admission indicators, principal diagnosis, procedures, and reportable secondary diagnoses in accordance with official coding guidelines and organizational policies.

Experience

  • Three years of inpatient and outpatient coding experience with 1 year auditing, leading projects, teams or groups required.
  • In Lieu of education requirements, 5 years inpatient and outpatient coding experience, with two years of auditing, leading projects, team or groups required.
  • Must have strong knowledge of Coding regulations and regulatory compliance experience.

 Education

  • Bachelor’s Degree in HIM, Business or related field required.

Licensure, Registration, and/or Certification

  • Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or CCS certification

About Us:


Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.


Cook Children’s is a Texas-only employer. If you are hired, you will need to maintain your primary residence within the state of Texas, along with all licenses and credentials required for your position throughout your employment.

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