Full-Time Health Information Management Inpatient Coding Auditor Senior

This expert level inpatient senior coding analyst is responsible for coder training, work queue management, performing second-level coding reviews utilizing auditing software, and documenting findings to improve MCC/CC, HAC/PSI, HCC, and Quality Indicator validation.

Conducts review and audit of discharged inpatient records (prebill and retrospective reviews) to validate the coding/DRG assignment according to official coding guidelines as supported by the clinical documentation in the record.

Monitors work queues daily to identify, prioritize, and assign accounts that need to be coded based on department-specific guidelines and within designated timelines in coordination with leadership.

Mentors and trains coders on application of correct ICD-CD and ICD PCS guidelines.

Coordinates and identifies provider documentation queries for the Clinical Documentation Integrity team to send to clinical providers.

Consults, provides professional expertise to, and collaborates with clinical documentation specialists on coding and documentation practices and standards.

Assists with and develops educational programs for coding staff, clinical documentation staff, and medical staff including yearly coding/DRG updates.

Applies ICD and ICD-PCS codes including major traumas and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation.

Identifies and assists management with the resolution of coding issues, process improvement, and system testing for HIM applications.

Interacts with other departments to resolve coding issues and assists with coding and clinical validation denials.

Participates in on-site, remote, and/or external training workshops and training.

Performs other duties as assigned.

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