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Coding Compliance Auditor (HIM Inpatient) - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
In accordance with current federal & state coding compliance regulations and guidelines, the 'IP Coding Compliance Auditor" performs 2nd level reviews of previously coded inpatient accounts for MS-DRG validation purposesincluding the accuracy and completeness of all ICD-10-CM and ICD-10-PCS code assigned by inpatient coders. Ensure appropriate MS-DRG & APR-DRG, including SOI & ROM scores. Performs 2nd level reviews of variables affecting MS-DRG and/or APR-DRGsuch asHACs, PSIs, Elixhauser Comorbidities, etc. Performs targeted/focused 2nd level reviews on Cloudmed & CCI external audit findings. Work with other stakeholders to performs targeted/focused 2nd level reviews per internal project requests by Revenue Cycle Depts.(i.e., PFS, Patient Access, Case management), CDI, Quality, Risks, p
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