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Memorial Hermann Health System

Outpatient Coding Compliance Auditor

Houston, Texas

Overview

Welcome to Memorial Hermann where each of our more than 27,000 employees and 6,700 affiliated physicians share a commitment to helping one another, our patients and our communities. Here, you’ll work alongside the best professionals in the business with the goal of providing the best care possible. We offer an employment experience like no other, and we’ve proudly served this community for more than 110 years. At Memorial Hermann, the health of our community is always at the center of what we do.

  • Job Type: Full-Time, Part-Time
  • Job Level: Senior
  • Travel: Varies by role
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SUCCESS PROFILE

What makes someone successful at Memorial Hermann?
Check out the top traits we're looking for and see if you have the right mix.

  • Analytical
  • Collaborative
  • Detail Oriented
  • Personable
  • Insightful
  • Helpful

Quote

It is so exciting to work for a company that truly sticks to their vision and values in terms of how we deliver patient care every day. We are constantly looking at ways to improve the lives of those in our communities, and that is what excites me the most.

– Julie B., PBS Manager

TOTAL REWARDS

  • Health Insurance

  • Retirement Plan

  • Paid time off

  • Certification reimbursement

  • Tuition reimbursement

  • Student Loan Repayment

JOB DESCRIPTION

Title Outpatient Coding Compliance Auditor Location 909 Frostwood, Houston, TX 77024 Category Revenue Cycle Type Full time Requisition 100112460 Date posted 08/18/2021

At Memorial Hermann, we’re about creating exceptional experiences for both our patients and our employees. Our goal is to provide opportunities for our diverse employee population that develop and grow careers in a team-oriented environment focused on patient care.

Every employee, at every level, begins their journey at Memorial Hermann learning about the history of the organization and its established culture built on trust and integrity. Our employees drive this culture, and we want you to be a part of it.

Job Summary

Position responsible for ensuring the accuracy and completeness of clinical coding that result in appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs.

Job Description

Looking to fill a full time Outpatient Coding Compliance Auditor. Must live in the state of Texas, Louisiana or Oklahoma to be considered for this position. 100% remote.

Desired Skill Sets:

  • CCS or CCP Certification Required
  • Must have Outpatient Auditing experience
  • Preferred Experience: Auditing for Emergency, Day Surgery, Endoscopy, Observation or Single Visits.

Perks: 100% Remote

Minimum Qualifications

Education:  High school diploma or GED , required

Licenses/Certifications:CCS (inpatient) or CPC (outpatient) required; RHIT or RHIA, preferred

Experience / Knowledge / Skills:

  • Three (3) years of hospital coding experience
  • Extensive knowledge of ICD-9-CM and CPT coding principles and guidelines
  • Extensive knowledge of reimbursement systems and regulations and policies pertaining to documentation, coding, and billing
  • Knowledge of database applications and spreadsheet design
  • Demonstrates commitment to the Partners-in-Caring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of “we advance health” through innovation, accountability, empowerment, collaboration, compassion and results while ensuring one Memorial Hermann.

Principal Accountabilities

  • Conducts regular coding audits and coordinates ongoing monitoring of coding accuracy, providing continuous feedback to coding staff.
  • Develops and coordinates educational sessions to all coding staff regarding documentation and accurate coding.
  • Serves as a resource for coding staff on organization-wide coding and documentation standards and guidelines.
  • Designs audit tools to monitor the accuracy of clinical coding.
  • Keeps abreast of coding guidelines and reimbursement reporting requirements.
  • Conducts trend analyses to identify patterns and variations in coding practices.
  • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
  • Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
  • Other duties as assigned.

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