Coding Quality Audit Reviewer

Part-time,Full-time - Mid Level

Remote - Augusta, GA

10,001+ employees

Hospitals

About the position

The Coding Quality Audit Reviewer is responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines and company policies. This role focuses on maintaining data integrity and improving the quality of physician documentation to support accurate code assignments, ultimately impacting reimbursement and patient care quality.

Responsibilities

• Leads, coordinates and performs all functions of quality reviews 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 (Associate's or Bachelor's).
• 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 with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more.
• Consumer discounts through Abenity.
• Education assistance (tuition, student loan, certification support, dependent scholarships).
• Colleague recognition program.
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence).
• Employee Health Assistance Fund offering free employee-only coverage based on income.