What Awaits You?

• Career growth and development
• Employee and Dependent Tuition Assistance
• Diverse and collaborative working environment
• Affordable and comprehensive benefits package

Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: https://jhhs.mybenefitsjhhs.com/

YOU BELONG HERE

Summary:

The Lead, Inpatient Coding Quality Outcomes Auditor, under the direction of the Supervisor, Coding Data Quality Outcomes Validation is will be responsible for the daily operations of the audit and education initiatives for the Inpatient Coding Division at JHHS. The Lead will provide support for coordination, monitoring, support and coding guidance to Inpatient Coding Quality Outcomes Validator. The Lead may assist in representing the Inpatient Coding Quality validation team at meetings and be called upon to answer questions and conflicts with validation recommendations, coding guidelines, regulatory coding instructions and coding review referrals. The Lead may support the Supervisor in preparation, coordination of reporting of audit findings as well as the Inpatient team’s production and quality performance. In addition, the Lead Inpatient Quality Outcomes validator we be responsible for participating in all quality-based regulatory initiatives related to Inpatient Coding for the Johns Hopkins Health System and serves as an expert-level Inpatient coding audit professional. This includes conducting pre-bill and post-bill medical reviews review for all monitored inpatient quality programs which are impacted by coding data. These programs include: MHACs, HACs, PSI, PPCs, Vizient, LOS, Elixhauser, and mortality reviews and the accuracy of coded data impacting reimbursement and external quality databases.

While this is a remote position, employees are required to work in the states where our organization is registered.

Registered Remote Locations: Maryland, Virginia, Washington DC, Florida, Pennsylvania, and Delaware.

Education:

High school diploma or GED required. Associate or higher degree in health information management or healthcare-related field preferred. Completion of an AHIMA-approved Coding Certificate Program or equivalent work experience.

Knowledge, Skills, and Abilities:

Expertknowledge of ICD-10 CM & ICD-10 PCS coding methodologies and the complexities related to coding in an Academic Medical Center or tertiary care center. Expert knowledge of the Maryland HSCRC reimbursement methodology and APR-DRGs and MS-DRGs. Ability to demonstrate expert knowledge of current coding classification systems, concepts, practices, compliance, and policies related to Inpatient Coding. Understanding of reporting of mortality risk indicators is preferred.

Completion of Academic Hospital Inpatient Diagnosis and Procedure Coding assessment.

Required Licensure, Certification, and On-going Training:

Active approved coding credential from AHIMA upon hire.

Work Experience:

External Candidates: 5 years of inpatient coding experience with 2 years of auditing experience.

Internal Candidates: 5 years of inpatient coding experience with 2 years of auditing experience or 8 years of coding experience.