Job Details
Job Location
Arkansas Heart Hospital Westlake building - Little Rock, AR
Job Shift
Day
Description
Position Summary
Seeking a highly skilled and experienced Revenue Integrity Coding Auditor to join our dynamic team. The ideal candidate should possess a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification and a minimum of 3 years of Inpatient and/or Outpatient coding experience. The Revenue Integrity Coding Auditor will play a crucial role in ensuring accurate coding, MS-DRG assignment, and compliance within our healthcare organization.
Work Schedule
Full-time 40-hour work week - Monday - Friday
Primary Duties

• The Revenue Integrity Coding Auditor will be responsible for the following key areas, including but not limited to:
  Review Activities:
  - Conduct reviews of Clinical Documentation Improvement (CDI) Mismatches.
  - Evaluate responses to Late Query submissions.
  - Assess Besler Quality Recommendations.
  - Examine coding issues related to Medical Necessity and other concerns.
  - Investigate MS-DRG Denials.
  - Conduct Coding Compliance Research.
  - Perform RVU Analysis.
  - Review high-risk cases such as Impella, TCAR, Aveir DR.
  - Handle Rebill Requests.
  - Address Discharge Not Final Billed Reports.
  - Provide continued support for Charge review.
  Collaboration:
  - Work closely with Providers, Clinical, Coding, and CDI team members.
  - Respond to coding questions and collaborate with CDI QA team on DRG reconciliation.
  - Collaborate with the Director of HIM/Coding/Billing regarding coding quality and education recommendations.
  Auditing and Reporting:
  - Perform random and focus-selected medical records review for accurate coding and MS-DRG assignment.
  - Summarize audit findings and provide feedback to the Director.
  - Keep detailed records of audits, results, recommendations, and follow-up actions.
  Training and Education:
  - Assist in the training of new coding team members.
  - Contribute to educational activities for all coding team members.
  - Provide education to providers on coding updates, documentation standards, and summary reviews.
  External Audits:
  - Review and respond to third-party coding audits/reviews.
  Benefits:
  The successful candidate will contribute to the organization's overall efficiency, resulting in benefits such as:
  - Increased efficiency in coding processes.
  - Lowering Days Not Final Billed (DNFB).
  - Decreasing Accounts Receivable (AR) days.
  - Providing research support for coding and RVU-related questions.
  - Improving cash flow.
  *Note: This job description is subject to change as the needs of the organization evolve.*

Qualifications
Qualifications/Specifications

• Education: High School diploma or equivalent required.
• Licensure/Certification: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required
• Experience: Minimum of three years of experience in medical coding with ICD-10 and CPT coding systems required. Detail-oriented and experienced coding professional with a passion for ensuring accuracy and compliance.