Lead Coding Services Auditor

October 16

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Wellstar Health System

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Cardiovascular • Pulmonary • Cancer • Women and Babies • Musculoskeletal

10,000+

Description

• The Lead Coding Services Auditor is responsible for conducting prebill and retrospective reviews to include focused reviews on identified opportunities, mortality, PSI and coder focused audits. • Reviews include full DRG validation, review of assigned ICD-10-CM/PCS, POA indicator(s), validation of all abstracting elements. • Auditor will use Vizient risk adjustment tools to identify potential coding opportunities during chart reviews. • The Lead Coding Services Auditor will use critical thinking skills and knowledge of coding/compliance guidelines to identify documentation, coding and reimbursement issues. • The Lead Coding Services Auditor serves as a mentor for the auditing team providing expert level expertise and feedback. • Create and maintain detailed data logs and trend and produce data in a meaningful executive style format for presentation.

Requirements

• Associate's Degree in Health Information Management, Business, or other health care related field • Bachelor's Degree in Health Information Management, Business, or other health care related field Preferred • All certifications are required upon hire unless otherwise stated. • Cert Coding Spec-Preferred or Reg Health Information Admin-Preferred or Reg Health Information Tech-Preferred • Minimum 1 year Served in a Coding Auditor Role at Wellstar for at least one year, is fully trained and maintains a accuracy in all areas within scope of work Required • Minimum 3 years Hospital-based inpatient auditing experience currently meeting a accuracy in abstracting, coding and DRG assignment while meeting productivity requirements or passing score on the coding assessment provided by Coding department, if applicable. Required