The Inpatient Hospital Coding Auditor conducts coding audits specific to ICD10CM and PCS; As well as validating the accuracy of the MS DRG or APR DRG assignment to ensure compliance with reimbursement methodologies, quality standards, and official coding guidelines.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, 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, Health Information Management or related field - Required
Required High School Diploma/GED With 5 years of Franciscan coding experience in lieu of degree - Required
5 years Coding Experience relevant to auditing specialty with RHIT/RHIA - Required
5 years Franciscan coding experience relevant to the auditing specialty with CCS - Required
2 years Coding Support role with RHIT/RHIA
- Preferred
Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - Required
Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Preferred
Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - Preferred
TRAVEL IS REQUIRED:
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.