Coding Compliance Auditor

4 days ago

Remote, Oregon, United States Healthcare Cost Solutions Full time

Coding Compliance Auditor - Outpatient or Inpatient

Healthcare Cost Solutions, Inc. is a recognized leader in the Health Information Management field providing Coding, Auditing, and HIM Consultative services to hospitals, ambulatory surgery centers, and physician providers nationwide.

Remote Full Time or Part-Time Outpatient or Inpatient Auditor positions are currently available. Benefits offered for Full Time employees. Candidates MUST have a minimum of five years' experience with an acute care hospital auditing outpatient/ER charts. Auditor will conduct coding assessments and billing audit validations to assist clients in preventing noncompliance issues.

Job Responsibilities:

  • Perform in-depth quality assurance audits of hospital claims to support ICD-10-CM

    and ICD-10 PCS codes and MS-DRG and APR-DRG assignments and/or CPT-4 and

    APC assignments, based on clinical documentation

  • Audit patient records, reviewing diagnosis and procedures for coding compliance

    with local, state, federal coding regulations and guidelines

  • Identify occurrences of "over" or "under" coding of patient records

  • Identify potential documentation issues

  • Prepare detailed reports on audit findings

  • Present via webinar software, audit findings, education, and trends to physicians,

    coders, and/or other facility professionals

Job Qualifications:

  • 5+ Years Inpatient and Outpatient or Inpatient Auditing experience with an Acute Care Facility

  • Ideally, at least two active coding credentials: CCS, CCS-P, CPC, CDIP, RHIT and/or

    RHIA

  • Extensive knowledge of medical terminology and ability to research coding related questions

  • Excellent oral and written communications skills

  • Successfully pass pre-hire coding assessments

  • AA degree, or equivalent preferred

  • Knowledge of Microsoft Office software: Excel and Word

This Job Is Ideal for Someone Who Is:

  • Dependable -- more reliable than spontaneous
  • Adaptable/flexible -- enjoys doing work that requires frequent shifts in direction
  • Detail-oriented -- would rather focus on the details of work than the bigger picture
  • Autonomous/Independent -- enjoys working with little direction

Job Types: Full-time, Part-time

Pay: $ $43.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Work Location: Remote

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