Job Title: Auditor-Internal Coding Senior
Dept: Corporate Auditing & Consulting
Reports to: Director Operations Audit and Special Projects
Summary:
Performs independent and objective assurance and consulting activities designed to add value and improve revenue cycle BMHCC operations. Critical tasks include risk assessments, internal control reviews and audits performed following internal auditing and ethical standards established by the Institute of Internal audit, with a particular emphasis on coding and billing operations. Performs other duties as assigned.
Responsibilities:
- Assists Internal Audit management and other staff on audits requiring coding knowledge and audit expertise.
- Performs audit planning and risk assessments, staying abreast of coding and reimbursement changes
- Conducts internal control reviews and assessments, including audits of chart documentation and medical records in accordance with all applicable standards and guidelines.
- Communicates audit results effectively, promoting quality coding and documentation
- Assists external audit firm(s)
- Completes assigned goals
Requirements, Preferences and Experience
Education
Minimum: Bachelor’s Degree
Experience
Preferred: Eight years coding audit experience for an integrated healthcare system
Minimum: Three years coding or related experience demonstrating skill and proficiency in IP and OP coding with at least five years’ experience in an acute care facility.
Special Skills
Required: Computer skills including Microsoft Word and Excel and EPIC
Licensure and Certification
Required: CPC-H, CPC-P, or CCS-P
Skills Required
- Bachelor's Degree
- Minimum three years coding or related experience demonstrating proficiency in inpatient (IP) and outpatient (OP) coding
- At least five years' experience in an acute care facility
- Eight years coding audit experience for an integrated healthcare system
- Certification: CPC-H, CPC-P, or CCS-P
- Computer skills including Microsoft Word, Microsoft Excel, and EPIC
What We Do
Baptist Memorial Health Care is one of the country’s largest not-for-profit health care systems and the largest provider of Medicaid in the region. Baptist offers a full continuum of care to communities throughout the Mid-South and consistently ranks among the top integrated health care networks in the country. The health care system comprises 24 affiliate hospitals in West Tennessee, Mississippi and East Arkansas; more than 5,400 affiliated physicians; Baptist Medical Group, a multispecialty physician group with more than 900 providers; home, hospice and psychiatric care; minor medical centers and clinics; a network of surgery, rehabilitation and other outpatient centers; and an education system highlighted by Baptist Health Sciences University (formerly Baptist College of Health Sciences). Baptist employs more than 21,000 people, and in fiscal year 2022 contributed more than $455 million in community benefit and uncompensated care to the communities it serves. For more information, please visit www.baptistonline.org or follow us on Facebook or Instagram.
