Job Description
Note: The job is a remote job and is open to candidates in USA. Jackson Health System is a world-class academic medical center located in Miami, Florida. They are seeking a Coding Compliance Auditor 2 to analyze coded data, ensure coding accuracy, and perform audits on inpatient and outpatient coders while providing education and guidance to the coding staff. Responsibilities • Performs Internal Coding Audits on inpatient and outpatient coders providing feedback and re-training as required • Reviews findings from External Coding Audits for validity of DRG assignment and provide responses if there is a disagreement • Discusses findings and any discrepancies in coding accuracy with external vendor, citing Coding Guidelines and coding Clinics • Perform SMART edit reviews and educate the internal coders on their errors • Review and respond to email requests from the CBO for DRG validation, missing procedure codes, Discharge Status discrepancies and Present on Admission assignments • Provide responses to inquires from insurance companies regarding accuracy in codes used by the facility • Reviews claim denials/audits from insurance companies • Provide education and guidance to the CDI team and the inpatient and outpatient coding staff, reviewing diagnoses and/or procedures that require clarifications • Annual coding updates are reviewed at these sessions, as well as, Coding Guidelines and Coding Clinics • Works with the Rehabilitation Teams from Jackson Main and Jackson North reviewing and advising on concurrent coding worksheets • Works with the CBO and the Revenue Cycle Team providing DRG validation and correcting accounts with missing or incorrect coding • Provides feedback to the coder involved in each case • Entering coding for in-house patients as per CBO request • Works closely with the CDI Team including concurrent DRG validation; provides assistance with assigning DRG's to in-house patients and provides individual guidance and education in applying Coding Guidelines • Works with different services educating them on appropriate documentation to support the severity of the patient's condition. Neonatology Team, Burn Center, etc Skills • 5 to 7 years of related experience • High school diploma • Prior coding experience • Bachelor's degree in related field Company Overview • Jackson Health System is a nonprofit academic medical system offering world-class care to any person who walks through its doors. It was founded in 1918, and is headquartered in North Miami Beach, Florida, USA, with a workforce of 10001+ employees. Its website is Apply tot his job