Coding Auditor - Inpatient

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence. Summary: Perform inpatient encounter audits and evaluates compliance related activities and services provided by the BayCare Health System HIM Coding Department. Interact directly with coders, clinical personnel including Clinical documentation specialists, and/or physicians. Audits include documentation and accurate and complete coding of diagnoses, present on admission (POA), procedures/surgeries, and discharge disposition while utilizing ICD-10-CM and ICD-10-PCS guidelines and other official coding references to ensure accurate coding including CMS, Federal Register, Official ICD-10-CM and ICD-10-PCS guidelines, AHA Coding Clinic, etc. Perform special audits for specific issues within facility Inpatient claims. Act as the Liaison for coding issues with the BayCare Compliance Department while maintaining a database of all audits performed, action taken, outcome and resolution. Provide feedback when coding changes are received and will serve as a resource for leadership within the facility HIM Coding departments. Serve as a resource to the coding department for special projects. Minimum Qualifications: Other information: Required Experience includes a minimum 10 years of Inpatient coding experience within a large multi-facility inpatient setting, minimum 10 years of Inpatient auditing experience within a large multi-facility inpatient setting. Preferred Experience includes 3 years of experience with 3M 360. Required Certifications includes RHIA/RHIT in conjunction with CCS. Preferred Certifications include RN, CDIP, CCDS, or clinical degree. Additional required skills include: In-depth knowledge of Anatomy, Physiology, Pharmacology, and Pathophysiology related to auditing position; MS Access Database, MSWord and MS Excel; Knowledge of regulatory standards and official guidelines appropriate to position; Meeting facilitation skills. Preferred - 3 years - Recruiting. Education: Essential: Associates Degree Nonessential: Bachelors Degree Education equivalent experience: Essential: Required - Associates; Preferred - Bachelors - Nonessential: Required - Associates; Preferred - Bachelors - Credentials: Essential: Credential Requirements in Comments Credential equivalent experience: Essential: Required - Reference summary for details; Preferred - Reference summary for details Facility: BayCare Health System, Health Info Management Coding-MPM Location: Morton Plant Status: Full Time, Exempt: No Shift Hours: 7-3:30pm Shift: Shift 1 Shift 1 = Days, 2 = Evenings, 3 = Nights, 4 = Varies Weekend Work: None On Call: How often will this team member be working remotely? Always Equal Opportunity Employer Veterans/Disabled