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About the position
As a Coding Quality Audit Reviewer with HCA Healthcare, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders. Your role will ensure compliance with national coding guidelines, HSC coding policies, and company coding policies, which are essential for complete, accurate, and consistent coding that results in appropriate reimbursement and data integrity. You will communicate review outcomes to the HSC team to improve the accuracy, integrity, and quality of patient data, minimize variation in coding practices, and enhance the quality of physician documentation within medical records to support code assignments.
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
Requirements
- Undergraduate degree in HIM/HIT preferred (Associates or Bachelors)
- Minimum of 5 years acute care inpatient and outpatient coding experience required
- Minimum of 3 years coding auditing/monitoring experience strongly preferred
- RHIA, RHIT and/or CCS preferred
Benefits
- Comprehensive medical coverage with low copay options
- Dental and vision benefits
- Life and disability coverage
- Flexible spending accounts
- Supplemental health protection plans
- Auto and home insurance
- Identity theft protection
- Legal counseling
- Long-term care coverage
- Moving assistance
- Pet insurance
- Free counseling services for emotional, physical and financial wellbeing
- 401(k) Plan with a 100% match on 3% to 9% of pay
- Employee Stock Purchase Plan with 10% off HCA Healthcare stock
- Family support through fertility and family building benefits
- Referral services for child, elder and pet care
- Consumer discounts through Abenity
- Retirement readiness and rollover assistance services
- Education assistance (tuition, student loan, certification support)
- Colleague recognition program
- Time Away From Work Program (paid time off, paid family leave)
- Employee Health Assistance Fund offering free coverage based on income
