Revenue Integrity Coding Auditor - Little Rock, United States - Arkansas Heart Hospital

Description

Job DetailsJob LocationArkansas Heart Hospital Westlake building

• Little Rock, ARJob ShiftDayDescriptionPosition SummarySeeking a highly skilled and experienced Revenue Integrity Coding Auditor to join our dynamic team.

The ideal candidate should possess a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification and a minimum of 3 years of Inpatient and/or Outpatient coding experience.

The Revenue Integrity Coding Auditor will play a crucial role in ensuring accurate coding, MS-DRG assignment, and compliance within our healthcare organization.

Work ScheduleFull-time 40-hour work week - Monday - FridayPrimary DutiesThe Revenue Integrity Coding Auditor will be responsible for the following key areas, including but not limited to:

Review Activities:

• Conduct reviews of Clinical Documentation Improvement (CDI) Mismatches.
• Evaluate responses to Late Query submissions.
• Assess Besler Quality Recommendations.
• Examine coding issues related to Medical Necessity and other concerns.
• Investigate MS-DRG Denials.
• Conduct Coding Compliance Research.
• Perform RVU Analysis.
• Review high-risk cases such as Impella, TCAR, Aveir DR.
• Handle Rebill Requests.
• Address Discharge Not Final Billed Reports.
• Provide continued support for Charge review.

Collaboration:

• Work closely with Providers, Clinical, Coding, and CDI team members.
• Respond to coding questions and collaborate with CDI QA team on DRG reconciliation.
• Collaborate with the Director of HIM/Coding/Billing regarding coding quality and education recommendations.

Auditing and Reporting:

• Perform random and focusselected medical records review for accurate coding and MS-DRG assignment.
• Summarize audit findings and provide feedback to the Director.
• Keep detailed records of audits, results, recommendations, and followup actions.

Training and Education:

• Assist in the training of new coding team members.
• Contribute to educational activities for all coding team members.
• Provide education to providers on coding updates, documentation standards, and summary reviews.

External Audits:

• Review and respond to thirdparty coding audits/reviews

Benefits:
The successful candidate will contribute to the organization's overall efficiency, resulting in benefits such as:

• Increased efficiency in coding processes.
• Lowering Days Not Final Billed (DNFB).
• Decreasing Accounts Receivable (AR) days.
• Providing research support for coding and RVU
• related questions.
• Improving cash flow.*Note: This job description is subject to change as the needs of the organization evolve.*QualificationsQualifications/SpecificationsEducation: High School diploma or equivalent required

Licensure/Certification:

Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification requiredExperience: Minimum of three years of experience in medical coding with ICD-10 and CPT coding systems required.

Detail-oriented and experienced coding professional with a passion for ensuring accuracy and compliance.