Audit charts of professional or acute inpatient to insure proper coding is assigned resulting in proper reimbursement for conditions treated, procedures performed, etc. Auditors will perform quality reviews on records coded by hospital coding staff as well as professional coding staff to validate that ICD 10 codes and DRG assignments are accurate and consistent with coding guidelines, insurance regulations and government rules and regulations. Documentation will be reviewed and educated on to insure all needed information is present in the record to support the code assignment. Any discrepancies or findings will be discussed in a collaborative manner and substantiated with coding guidance supported by AHIMA and as published by the American Medical Association. It is imperative for the auditor to be able to decipher rules and regulations and apply them to charts being audited independently and to educate in alliance with their findings.
POSITION QUALIFICATIONS
Minimum Education
High School diploma required.
Coding certification for professional or acute required.