Coding Compliance Auditor - Hospital

Shirley Ryan AbilityLab is the global leader in physical medicine and rehabilitation for adults and children with the most severe, complex conditions. By joining our team, you’ll be part of our life-changing mission and vision. You’ll contribute to an innovative, multifaceted culture that is second to none — one that embraces collaboration, excellence, discovery and compassion. You’ll play a role in something that’s never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes — as we Advance Human Ability, together.

• Perform audits required by accrediting organizations to determine if the information in the medical records is meeting set standards and regulations as requested.
• Assist the compliance officer in assigned projects from internal or external sources.
• Perform assigned Medicaid, Medicare, and other third party payer audits.
• Code inpatient admission and discharged medical records within appropriate timeframes to meet timely billing requirements; assist in coding outpatient records as needed.
• Provide coding training and updates for coding team and other hospital staff as needed.
• Send queries for physicians to assist in accurate, quality documentation within the medical record.
• Review charge master updates and additions for appropriate current ICD-10 and CPT code assignment.
• Participate in communication and education with medical staff concerning documentation issues/queries to support accurate coding and billing.
• Supports continuous quality improvement efforts and performs special projects, training, education, and/or duties as assigned by the Director of Medical Records.
• Perform all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.

• Report directly to the Director, Medical Records.

• Coding Certification through AHIMA or AAPC for inpatient or Outpatient coding. (i.e., RHIA, RHIT, CCS, or CCS-P certification) and maintains continuing education requirements.
• Minimum 2 Years of ICD-10 and CPT coding experience and clinical knowledge.
• Knowledge of regulatory, billing, and other coding guidelines.
• Thorough knowledge of related prospective payment systems.
• Auditing skills for coding quality and compliance.
• Advanced computer skills, PC-experience with Windows based applications.
• Interpersonal skills necessary to effectively communicate with other departments, physicians, outside agencies, and key customers. Good writing skills to create reports and ability to graphically present audit data.

• Normal office environment with little or no exposure to dust or extreme temperature.
• Remote

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification.  They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.