Revenue Integrity Coding Auditor

1 week ago


Little Rock, Arkansas, United States Arkansas Heart Hospital Full time
Job Title: Revenue Integrity Coding Auditor

We are seeking a highly skilled and experienced Revenue Integrity Coding Auditor to join our dynamic team at Arkansas Heart Hospital.

Job Summary:

The successful candidate will play a crucial role in ensuring accurate coding, MS-DRG assignment, and compliance within our healthcare organization.

Key Responsibilities:
  • Conduct reviews of Clinical Documentation Improvement (CDI) Mismatches and evaluate responses to Late Query submissions.
  • Assess Besler Quality Recommendations and examine coding issues related to Medical Necessity and other concerns.
  • Investigate MS-DRG Denials and conduct Coding Compliance Research.
  • Perform RVU Analysis and review high-risk cases such as Impella, TCAR, and Aveir DR.
  • Handle Rebill Requests and address Discharge Not Final Billed Reports.
  • Provide continued support for Charge review and collaborate with Providers, Clinical, Coding, and CDI team members.
Requirements:
  • Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required.
  • 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.
Benefits:
  • 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.


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