Outpatient Coding Auditor, Fully Remote, Health Information Management, FT, 08A-4:30P

Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 24,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World’s Most Ethical Companies.

Everything we do at Baptist Health, we do to the best of our ability. That includes supporting our team with extensive training programs, millions of dollars in tuition assistance, comprehensive benefits and more. Working within our award-winning culture means getting the respect and support you need to do your best work ever. Find out why we’re all in for helping you be your best.

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 $30.74 - $39.96 / hour depending on experience.

Qualifications

• Degrees: High School Diploma or Equivalent
• Licenses & Certifications: AHIMA Certified Coding Specialist (CCS)
• Additional Qualifications: 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.
  
  

EOE