Coding Auditor
3 days ago
We are seeking a skilled Coding Auditor to join our team at Gainwell Technologies LLC. As a Coding Auditor, you will be responsible for performing coding reviews of medical records and/or other documentation to determine correct coding as defined by review methodologies specific to the contract for which review services are being provided.
Key Responsibilities- Perform audits of medical record documentation to determine the accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes.
- Adhere to official coding guidelines, coding clinics, and regulatory guidelines and mandates.
- Draw on advanced ICD-10 coding expertise to substantiate conclusions.
- Utilize HMS proprietary auditing systems with a high level of proficiency to document audit determinations and rationale.
- Consistently achieve productivity and quality performance standards established by management.
- Actively cross-train to perform reviews of multiple claim types to provide a flexible workforce to meet client needs.
- Assist management with training new Coding Auditors to include daily monitoring, mentoring, feedback, and education.
- Maintain current knowledge of coding guidelines and successfully complete required CEUs to maintain coding certification.
- Responsible for attending training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations.
- Demonstrated proficiency in medical record auditing and ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodology.
- Demonstrates a thorough understanding of the APR-DRG, AP-DRG, and MS-DRG.
- One or more active professional credentials through AHIMA or AAPC: CPC, CCS, COC, RHIA, RHIT.
- Demonstrated experience in medical record coding and auditing.
- Demonstrated proficiency in computer skills and typing, i.e., Microsoft Windows, Outlook, Excel, Word, PowerPoint, Internet browsers, and in virtual meeting tools i.e., Microsoft Teams, Zoom, etc.
- Remote (work from home) environment.
- Full-time Regular Hourly W-2 position.
- Company computer provided for work use only.
- Health benefits on first day of employment.
- Opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.
This position is intended for pipelining. We will accept applications on an ongoing basis.
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The pay range for this position is $45.00 per hour, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
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Coding Auditor
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Jackson, Mississippi, United States Gainwell Technologies LLC Full timeAbout the RoleWe are seeking a skilled Coding Auditor to join our team at Gainwell Technologies LLC. As a Coding Auditor, you will play a critical role in ensuring the accuracy and integrity of medical records and coding practices.Key ResponsibilitiesPerform audits of medical record documentation to determine the accuracy of principal and secondary diagnosis...
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