HIMS Coding Auditor
Core
Audits medical record coding accuracy and compliance for inpatient and outpatient records, managing denials and appeals.
Role type
Senior coding auditor (healthcare)
Builds
Accurate coding data and successful payer appeals
Domain
Healthcare administration / Medical coding
Required skills
ICD-10, CPT, APC, MSDRG coding guidelines, audit report preparation, denial management, clinical documentation improvement liaison, compliance standards enforcement, Excel, PowerPoint, Word
Preferred skills
Clinical Documentation Integrity (CDI) experience, training and mentoring staff, settlement of audit findings
Technologies
ICD-10, CPT, APC, MSDRG, Excel, PowerPoint, Word, denial management tool
Responsibilities
Perform quality audits on outpatient and inpatient records; review and respond to internal and external coding audits; write appeal letters for DRG and CPT denials; monitor coding functions for compliance; identify training needs and coach staff; serve as clinical coding liaison with medical and CDI teams.
Seniority
Mid-Senior level, hands-on IC