Medical Record & Coding Auditor

Who We Are
JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people.

Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.

Why JPS?
We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road:

1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence.
2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.
3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS.

When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you!

Job Summary: The Medical Record & Coding Auditor is responsible for performing annual, periodic or other focused medical record audits as requested to oversee the quality and accuracy of multi-specialty provider group, inpatient and outpatient coding and documentation. This position requires effective communication with all stakeholders and excellent organization skills to ensure timeliness and accuracy of response requests, as well as continual program development through training, education and process improvement for providers.

Essential Job Functions & Accountabilities:

• Performs medical record audits with a primary focus on coding and medical documentation regulatory compliance.
• Performs documentation audits for both Evaluation and Management Coding (E&M coding) for outpatient and inpatient services and surgical procedures to ascertain the accuracy and completeness of the Providers E/M and Procedure coding.
• Coordinates with outside audit vendor(s) regarding accurate and timely coding and compliance audits of Provider documentation.
• Reviews audit results with Providers, Department Chairs, Service Line Administrators, and/or Coding Staff.
• Assists with the development of training materials for compliance education and training.
• Provides education and training to Providers (new and established) and others as indicated regarding documentation, coding and data interpretation.
• Serves as a resource person to obtain information on accurate and ethical coding documentation standards, guidelines, and regulatory requirements.
• Communicates coding updates published in third-party payer newsletters, bulletins, and provider manuals.
• Maintains knowledge of new trends and documentation guidelines by attending seminars and webinars as applicable.
• Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.
• Must be able to complete all job duties and functions of the role with or without assistive/adaptive devices, and/or reasonable accommodations.

• Work environments may differ based on job functions and location. Work is subject to schedule changes and/or variable work hours.

Qualifications:

Required Qualifications:
• Bachelor Degree in Healthcare Administration, Business Administration or a related field of study from an accredited college or university.
• Licensed in a clinical discipline or Certified Auditing Professional.
• 3 plus years of experience with ICD-10-CM, HCPCS, CPT-4, and E&M codes.
• 2 plus years of experience with healthcare auditing.
• OR, in lieu of a Bachelor’s Degree, the following:
• High School Diploma, GED or Equivalent
• Licensed in a clinical discipline or Certified Auditing Professional.
• 6 plus years of experience with ICD-10-CM, HCPCS, CPT-4, and E&M codes.
• 6 plus years of experience with healthcare auditing.

Location Address:
200 W. Magnolia
Fort Worth, Texas, 76104
United States