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.
Full Time or Part-Time Inpatient/Outpatient Auditor position is 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
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
- AA degree, or equivalent
- 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: $30.00 - $43.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
- Weekends as needed
Work setting:
Education:
Experience:
- Inpatient and Outpatient Auditing Acute Care: 5 years (Required)
License/Certification:
- 2 Valid Credentials = CCS, CCS-P, CPC, CDIP, RHIT, RHIA (Required)
Work Location: Remote