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Revenue Integrity Coding Auditor - FT

Job Details

Arkansas Heart Hospital Westlake building - Little Rock, AR



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.


       - 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.


    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.*




  • 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.