Inpatient Denials Coding Auditor, Baptist Metro Square

Job Summary

Baptist Health is looking to add an Inpatient Denials Coding Auditor in our Appeals & Denials Department at Baptist Metro Square. This is a Full Time opportunity.

Baptist Jacksonville is a Magnet™ designated hospital, the gold standard for excellence in patient care. We serve families throughout the area with high-quality, comprehensive care for every stage of life.

As an Inpatient Denials Coding Auditor, you will be responsible for:

• 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
• Idenitfying 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.

Candidate must be an active Registered Nurse. Candidate must have 5 or more years of Coding experience. Candidate must have one of the following certifications: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).

This Inpatient Denials Coding Auditor will be located at Baptist Metro Square. If you are interested in this Full-Time opportunity, please apply now

Education Required

Bachelor's Degree

Education Preferred

Bachelor's Degree

Experience

• Over 5 years Acute Patient Care Experience Required
• Over 5 years Coding Experience Required
• 3-5 Years Insurance Billing Experience Required
• 1-2 years Auditing Experience Required

License and Certification

• Certified Coding Specialist (CCS) Required Or
• Registered Health Information Technician (RHIT) Required Or
• Registered Health Information Administrator (RHIA) Required Or
• Licensed Registered Nurse Required

Location

Location Overview

Baptist Health, founded in 1955, is North Florida’s most comprehensive health care system and the area’s only non-profit, mission-driven, locally governed health care provider. Baptist Health has over 200 points of care throughout the Northeast Florida region, including our six award-winning hospitals: Baptist Medical Center Jacksonville, Wolfson Children’s Hospital, Baptist Medical Center Beaches, Baptist Medical Center Clay, Baptist Medical Center Nassau and Baptist Medical Center South. The most preferred health care system in the region, Baptist Health also includes 57 primary care offices, as well as home health, behavioral health, pastoral care, rehabilitation services, occupational health and urgent care.