Description
Coding Compliance Auditor - Inpatient/ Outpatient
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 Inpatient/Outpatient 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 inpatient, 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
Requirements
Job Qualifications:
- 5+ Years Inpatient and Outpatient 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
Schedule:
Monday to Friday
Weekends as needed
Education:
Associate (Preferred)
Benefits:
Health insurance
Dental insurance
Vision insurance
Life insurance
Paid time off
401(k)
Experience:
Inpatient and Outpatient Auditing Acute Care: 5 years (Required)
License/Certification:
Do you have 2 valid CCS, CCS-P, CPC, CDIP, RHIT, RHIA? (Required)
