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Coding Compliance Auditor, Inpatient

University of Maryland Medical System

Baltimore, MD

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JOB DETAILS
SALARY
$33.36–$46.70 Per Hour
SKILLS
Analysis Skills, Certified Coding Specialist (CCS), Clinical Study Publications, Critical Care, Current Procedural Terminology (CPT), Customer Support/Service, Diagnosis-Related Group (DRG), Documentation, Federal Laws and Regulations, Healthcare, High School Diploma, Hospital, ICD-10, Medical Coding, Medical Records, Medical Terminology, Medical Treatment, Medicine, Network Integration, Neurology, Nursing, Outpatient Care, Patient Care, Primary Care, Problem Solving Skills, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Regulatory Compliance, Reimbursement, State Laws and Regulations, Surgical Procedures, Time Management, Training/Teaching, Urgent Care
LOCATION
Baltimore, MD
POSTED
Today
Job Requirements

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.

Job Description

I. General Summary
  • Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems.
II. Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
  • Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.
  • Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits for the purpose of reimbursement, research and compliance with federal and state regulations.
  • Audits complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment.
Work Experience

III. Education and Experience
  • High School graduate or equivalent. Formal ICD-10-CM, ICD-10-PCS, CPT-4 training. Associates or Bachelor's degree. Education will be considered in lieu of experience.
  • Minimum of two years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma hospital or 4 years of experience with coding inpatient hospital medical records. 2-3 Years Ambulatory coding experience.
  • One of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC)
IV. Knowledge, Skills and Abilities
  • Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability

Additional Information

All your information will be kept confidential according to EEO guidelines.

Compensation:

Pay Range: $33.36-46.70

Other Compensation (if applicable):

Review the 2024-2025 UMMS Benefits Guide

Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at careers@umms.edu.

About the Company

U

University of Maryland Medical System

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