Top 2 Quality auditor Jobs in Naples Fl

Coding Quality Auditor
Houston Methodist —Florida
- Full-time
- Anatomy knowledge
- English
- Mid-level
2d

Check out these similar jobs

Based on your search for quality auditor jobs.

Coding Quality Auditor
Houston Methodist —Florida
Provides assistance to the leadership team or other coders with coding of the accounts or answering questions from other coders relating to coding and work…
2d
Chief Financial Officer
Premier Inpatient Partners, LLC. —Naples, FL
Partner with Human Resources and legal counsel to develop and standardize physician and APP compensation structures, employment agreements, independent…
From $150,000 a year
Quick Apply
13d

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Quality Auditor - 1st Shift
Ace Hardware —West Jefferson, OH
Data Collection & Reporting • Use systems like: o WMS (Warehouse Management System) o Excel or audit tracking tools • Document: o Audit results o Defects and…
$20.50 an hour
Sr. Batch Records Auditor
Abbott Laboratories —Columbus, OH
HSD/GED required; Bachelors’ degree in a technical field preferred. Proficiency in computer applications strongly desired, certification in Low Acid Food…
$19.05 - $38.15 an hour
6d

Show more jobs in cities nearby

I want to receive the latest job alert for quality auditor in naples fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

quality auditor jobs near naples fl

Quality Auditor jobs in Florida

It Auditor jobs in Nashville, TN

Quality Auditor jobs in East Brunswick, NJ

Night Auditor jobs in Aurora, CO

Quality Auditor jobs in Ridgefield, WA

Quality Auditor jobs in Virginia

Coding Quality Auditor

Houston Methodist -
Florida

Apply Now

Job Details

Full-time
2 days ago

Qualifications

Anatomy knowledge
English
Medical terminology

Full Job Description

At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional duties include participating in quality review and performance improvement projects throughout the department and/or facility.

FLSA STATUS
Non-exempt

QUALIFICATIONS

EDUCATION

Associate’s degree or higher in a Commission on Accreditation in Health Informatics and Information Management accredited program required or additional two years of experience (in addition to the minimum experience requirements listed below) required in lieu of degree

EXPERIENCE

Five years of coding experience relevant to the area auditing (e.g., inpatient, outpatient, professional fee)

LICENSES AND CERTIFICATIONS
Required

For inpatient/outpatient coding: RHIT, RHIA, or CCS certification from AHIMA is required
For professional fee coding: CPC from AAPC is required

SKILLS AND ABILITIES

Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Knowledge of an electronic medical record and imaging systems
Working knowledge of medical terminology, anatomy and physiology
Proficiency with electronic encoder application

ESSENTIAL FUNCTIONS

PEOPLE ESSENTIAL FUNCTIONS

Interacts and communicates effectively with members of the coding team and HIM, physicians, CDMP nurses, IT, Quality Operations, Case Management, Patient Access and Business Office.
Participates and provides good feedback during coding section meetings, coding education in-services, and coder/CDMP meetings. Takes initiative to assist others and shares knowledge with the coding group and business partners on official coding guidelines.

SERVICE ESSENTIAL FUNCTIONS

Responds promptly to internal and external customer coding/DRG requests. Responds promptly to Business Office requests to code or review coded accounts for accuracy. Identifies and anticipates customer requirements, expectations, and needs. Provides assistance to the leadership team or other coders with coding of the accounts or answering questions from other coders relating to coding and work flows.
Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG and APR-DRG assignment, sequencing of diagnoses and procedures, and coding and documentation training.
Assists with quality assurance (peer) reviews to ensure data integrity and accuracy of coding, identifies opportunities for improvements, and makes recommendations for optimal enhancements.
Assists Case Management and Patient Access Departments in providing appropriate CPT codes for pre-admission and pre-certification requirements including the inpatient only process. Assists in the development of documentation protocols for physicians. Represents the coding area in Hospital meeting/events when necessary (e.g., Performance Improvement Committees).

QUALITY/SAFETY ESSENTIAL FUNCTIONS

Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines.
Performs accurate, optimal DRG and APC assignment, in accordance with nationally established rules and guidelines based upon documentation within the medical record.
Reviews discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data.
Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system. Reviews medical record documentation and abstracts data into the encoder and Electronic Health Record (EHR) abstracting system to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures.
Assists with quality reviews of outpatient or inpatient accounts and/or training of new coders. Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.
Aggregates data from reviews and compiles reports for HIM management.

FINANCE ESSENTIAL FUNCTIONS

Utilizes time effectively. Consistently codes and abstracts at departmental standards of productivity while ensuring accuracy of coding. Ensures work flows and worklists are reviewed or monitored in order to identify old uncoded accounts or problem accounts.
Assists in making sure coding bill hold goal is met. Maintains coding timeframes within acceptable guidelines by ensuring all work items assigned to the coding queues and worklists are processed in a timely manner.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS Critically evaluates her or his own performance, accepts constructive criticism, and looks for ways to improve. Displays initiative to improve relative to job function. Contributes ideas to help improve quality of coding data and abstracting data.

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

- Uniform: No
- Scrubs: No
- Business professional: Yes
- Other (department approved): No

ON-CALL*

- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call* No

TRAVEL**

**Travel specifications may vary by department**

- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area Yes

QUALIFICATIONS

EDUCATION

Associate’s degree or higher in a Commission on Accreditation in Health Informatics and Information Management accredited program required or additional two years of experience (in addition to the minimum experience requirements listed below) required in lieu of degree

EXPERIENCE

Five years of coding experience relevant to the area auditing (e.g., inpatient, outpatient, professional fee)

LICENSES AND CERTIFICATIONS
Required

For inpatient/outpatient coding: RHIT, RHIA, or CCS certification from AHIMA is required

Company Profile:

Houston Methodist is one of the nation’s leading health systems and academic medical centers. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. Come lead with us!

Houston Methodist is an Equal Opportunity Employer.

Apply Now

Refine Your Search

quality auditor jobs in naples fl

Coding Quality Auditor

Check out these similar jobs

Explore jobs in cities nearby

I want to receive the latest job alert for quality auditor in naples fl

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected