Facility Inpatient Coding Audit Team Lead
Remote
Job Summary
Conduct comprehensive audits of inpatient facility coding with emphasis on MS-DRGs, ICD-10-CM/PCS, POA indicators, discharge disposition, and quality measures. Validate clinical documentation to ensure accurate code assignment and regulatory compliance, while identifying coding trends, reimbursement opportunities, and compliance risks. Create and assign daily audit batches, monitor production to meet turnaround times, and serve as the primary escalation point for operational issues. Train and onboard new auditors, conduct biannual technical assessments, and prepare productivity metrics and quality dashboards for leadership. Partner with operational leadership to identify workflow improvements and foster collaboration across remote and global audit teams.
Required Qualifications
- Facility inpatient coding auditor experience
- MS-DRGs knowledge
- ICD-10-CM/PCS knowledge
- POA indicators knowledge
- Discharge disposition knowledge
- Quality measures knowledge
- Clinical documentation validation ability
- Coding trend identification ability
- Reimbursement opportunity identification ability
- Compliance risk identification ability
- Education and feedback provision ability
- Daily audit batch creation ability
- Team workload balancing ability
- Audit production monitoring ability
- Turnaround time expectation management ability
- Quality expectation management ability
- Primary escalation point capability
- Auditor training and onboarding ability
- Mentorship and coaching ability
- Biannual Auditor Technical Assessments (ATA) support ability
- Performance evaluation support ability
- Audit report preparation ability
- Productivity metrics preparation ability
- Quality dashboard preparation ability
- Workflow improvement identification ability
- Best practices implementation ability
- Remote and global audit team collaboration ability
Desired Qualifications
- Outpatient facility auditing experience
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