Inpatient Hospital Coding Auditor, Remote, Baptist Metro Square

For more than 25 years, health care consumers have named Baptist Health the "most preferred healthcare provider" in the region. At Baptist Health, we are proud to be local, providing multigenerational care to our community. We are the hospital Jacksonville trusts the most. Our employees can take pride in their Baptist Badge, knowing the impact they make on their friends, family, and neighbors. Baptist was recently recognized by Forbes magazine as one of America’s top employers for diversity.

The Inpatient Hospital Coding Auditor Responsibilities include:

• Performing inpatient coding audits (DRG) related to payer audits.

• Auditing prior billed codes to ensure clinically validated

• Accurate coding based on established guidelines

• Performing coding updates in both legacy and EPIC environments as applicable

• Identifying audit trends and providing insights and education to Clinical Denials Audit and Analysis and Clinical Documentation Integrity leadership.

• Auditing will include scope of both government and commercial payors including but not limited to RAC, AHCA, and commercial DRG Audits.

Education and Certification Requirements:

Associate of Science Required

Bachelor of Science (non Nursing) Preferred

Certified Coding Specialist (CCS) - AHIMA

Registered Health Information Technician - AHIMA

Registered Health Information Administrator - AHIMA

Experience Requirements:

3-5 Years Auditing Experience

3- 5 Years Coding Experience

3-5 Years Knowledge of State and Federal Requirements

Candidate must reside in the following approved states: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia, Wyoming.

If you are interested in this opportunity, please apply today!