Coding Quality Auditor & Specialist
$72,800–$122,720 year
RemoteUnited States
Job Summary
Collaborate with clinical documentation teams to review inpatient accounts, identify documentation improvement opportunities, and ensure coding practices remain compliant with national guidelines. Assess DRG, PDx, secondary Dx, and POA components impacting quality metrics while leading Mortality Review, HAC/PSI Review, and Quality Abstraction projects. Serve as an expert educator to clinical staff and develop teaching tools to promote quality outcomes. Analyze data to construct action plans and identify root causes, partnering with IT, Analytics, and third-party consultants to design advanced workflow solutions. Participate in clinical and executive meetings to advance strategic plans for clinical dashboards and external rankings.
Required Qualifications
- RHIT or RHIA or CCS Certification
- Certified Clinical Documentation Specialist (will consider CDIP certification)
- Bachelor Degree – Healthcare related (will consider candidate currently enrolled in Bachelor program)
- Five years of coding experience in area of expertise
- Clinical expertise and understanding achieved through prior experience working with clinical documentation teams
- Strong personal computer skills (Word, Excel, PowerPoint, Visio)
- Excellent verbal, written, and presentation skills
- Demonstrates critical thinking skills
- Excellent interpersonal skills
- Planning and time management skills
- Educational/training experience
Desired Qualifications
- Master's Degree in related field or currently enrolled in Master's program
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