The HIMS Coding Auditor is responsible for maintaining coded data quality through ongoing audits of inpatient and outpatient records. They also manage DRG and CPT denials, write appeal letters, and provide education and mentorship to the coding team.
The Inpatient Coder II analyzes medical records to assign accurate ICD-10-CM and PCS codes to ensure correct DRG assignment and reimbursement. They collaborate with the Clinical Documentation Improvement team to resolve documentation ambiguities and maintain coding productivity standards.
Perform independent clinical chart reviews and risk adjustment audits to ensure compliance with commercial and government payor standards. Serve as a subject matter expert to analyze coding trends, resolve denials, and provide educational guidance to providers and staff.
Lead the expansion and maintenance of Sitecore implementations while providing technical leadership and mentoring to other developers. Responsible for writing quality code, conducting code reviews, and communicating complex technical concepts to stakeholders.
