CODING COMPLIANCE AUDITOR
CODING COMPLIANCE AUDITOR
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
I. General Summary
- Accurately audits hospital Inpatient Ambulatory Surgery Observation and any other outpatient encounter visit for the purpose of appropriate reimbursement research and compliance with federal and state regulations according to established ICD10CM/PCS coding and/or CPT4 procedure coding classification systems.
II. Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
- Serves as a clinical coding subject matter expert and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff and clinical documentation specialists as needed.
- Audits ICD10 diagnostic codes and CPT4 procedure codes to outpatient ambulatory surgery and observation visits for the purpose of reimbursement research and compliance with federal and state regulations.
- Audits complex inpatient cases such as trauma rehab neurology critical care etc. utilizing the ICD10CM and ICD10PCS nomenclature to ensure accurate APRDRG/SOI/ROM and POA assignment.
Qualifications :
III. Education and Experience
- High School graduate or equivalent. Formal ICD10CM ICD10PCS CPT4 training. Associates or Bachelors degree. Education will be considered in lieu of experience.
- Minimum of two years ICD10CM/ICD10PCS coding and abstracting experience with at a Level 1 Trauma hospital or 4 years of experience with coding inpatient hospital medical records. 23 Years Ambulatory coding experience.
- One of the following: Certified Coding Specialist (CCS) Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Certified Inpatient Coder (CIC)
IV. Knowledge Skills and Abilities
- Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability.
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Compensation:
Pay Range: $36.61$45.71
Other Compensation (if applicable): N/A
Remote Work :
Yes
Employment Type :
Fulltime
Employment Type
Remote
