HIM Coding Auditor/Educator
Core
Develops and maintains coding education programs and performs quality reviews of inpatient and outpatient ICD-10-CM/PCS and CPT coding to validate DRG assignment, Severity of Illness, and principal/procedure diagnoses.
Role type
Senior HIM Coding Auditor and Educator
Builds
Coding education and training programs
Domain
Healthcare administration and medical coding
Deliverable
dashboards & analysis
Required skills
ICD-10-CM/PCS, CPT-4, coding quality review, DRG assignment, Severity of Illness, Present on Admission indicators, principal diagnosis, procedures, reportable secondary diagnoses, coding guidelines, regulatory compliance, project leadership, team leadership
Preferred skills
null
Technologies
ICD-10-CM, ICD-10-PCS, CPT-4
Responsibilities
Develops coding education and training programs based on audit findings and regulatory updates; Performs and analyzes inpatient and outpatient coding quality reviews; Validates accurate DRG assignment and diagnosis/procedure coding in accordance with official guidelines.
Seniority
Senior, hands-on IC
