Quality Auditor In-Patient - UF Health

This position is responsible for ongoing quality review and assessment of coded hospital data. Performs audits on the accuracy of ICD-10-CM/PCS, CPT-4, MS-DRG, APR-DRG and APC assignments, as appropriate. Prepares reports for management review and identifies trends.  Conducts focused retrospective audits and regular scheduled audits of individual coders.  Manages all audits conducted by internal and external entities and responds to requests for code verification.  In conjunction with the Coding Manager and/or Coding Assistant Manager, contributes to the development of educational and training opportunities for staff.

Must reside in State of Fl.

Education

• Post High School Special Training

Licensure/Certification/Registration

• Registered Health Information Administrator (RHIA) OR Certified Coding Specialist (CCS) OR Registered Health Information Technician (RHIT) OR Certified Professional Coder (CPC) OR Certified Professional Coder-Hospital (CPC-H)

Special Skills/Qualifications/Additional Training/Experience Required

• Must be able to read, write, speak and understand English
• Must have a minimum 3 years’ experience in hospital inpatient and/or outpatient medical record coding and reimbursement. 
• Coding audit experience preferred. 
• Must have strong knowledge of ICD-10 CM/PCS and/or CPT coding (based on area of assignment) and prospective payment systems and proficiency with Microsoft Windows Operating Systems and Office applications such as Word, Excel, PowerPoint, and coding/grouping software.