The Coding Auditor performs Diagnostic Related Group (DRG) optimization audits and coding quality audits on inpatient and outpatient records and reviews results of audits with Coding staff and Coding management. In addition, this individual also codes and abstracts Inpatient, Day Surgery, Observation, and all other medical records as requested. Utilizes International Classification of Disease (ICD-9-CM) and Physicians Current Procedural Terminology (CPT) coding systems and other coding references to ensure accurate coding. This position may require travel within the Baylor Health Care System (BHCS) system. The Coding Auditor may be placed in any BHCS facility as directed by the Coding Manager or the Manager of Corporate HIM Services. This position travels extensively for BHCS.
Bachelor Degree (Appropriate to Position)
One of the following Certifications:
CCS
RHIT
RHIA
2 years DRG Auditor experience or
5 years Inpatient/outpatient coding experience in an acute care setting
- Strong acute care setting IP coding and CPT coding experience
- Minimum IP productivity of 3.5/hr
- Proven coding quality of 95% of greater
- Strong critical thinking skills
- Strong communication skills to interact with physicians, clinical departments
- Modifier knowledge
- CDM knowledge
- Excel Spreadsheet knowledge
