Coding Quality Audit Reviewer

Overview

Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

This position is fully remote / work from home. Schedule : Monday-Friday Day Shift. Must have DRG Validation experience and Inpatient Coding experience.

Job Summary and Qualifications

As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes to communicate to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments.

What you will do in this role :

Responsibilities

• Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and / or outpatient coding across multiple HSCs
• Assists in ensuring HSC coding staff adherence with coding guidelines and policy
• Demonstrates and applies expert level knowledge of medical coding practices and concepts
• Participates on special reviews or projects
• Maintains or exceeds 95% productivity standards
• Maintains or exceeds 95% accuracy
• Meets all educational requirements as stated in current Company policy
• Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical / medical resources to assure coding knowledge and skills remain current

Qualifications

Benefits

Learn more about Employee Benefits (https : / / careers.hcahealthcare.com / pages / employee-benefits-and-rewards)

Eligibility for benefits may vary by location.

Additional information

Parallon provides full-service revenue cycle management for HCA Healthcare. We are an equal opportunity employer and do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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