Hospital Coding Auditor (IP/OP) – Remote / Full Time

Mommy Jobs Online
Published
December 27, 2019
Location
Portland, ME
Category
Job Type
Job ID
Mommy Jobs Online
Job Industry
Customer Service, Medical, Medical Coding, Healthcare
Skills
Must meet all job description requirements.
Education
Bachelors
Education Requirements
4 year degree
Salary
Salary : $19.00 - $23.00 / Hourly / DOE
Pay Type
Hour
Street Address
Remote

Description

Hospital Coding Auditor (IP/OP) - Remote

Location : US
Type : Full-Time
Salary : $19.00 - $23.00 / Hourly / DOE

This is a full-time position that will be based from your home office, reporting to the Manager, Facility Remote Coding Services within our Reimbursement and Advisory Services. The Coding Auditor ensures that coding compliance initiatives are met for our client. Reviews and analyzes medical records and abstracted data submitted by the clients coding staff to determine the accuracy of payment, code assignment, and adequacy of clinical documentation in accordance with regulatory requirements. This position may lead to permanent employment with the client, depending on performance, and other factors.

The Coding Auditor will have the following responsibilities:

Responsibilities:

  • Ability to successfully perform coding quality reviews to validate correct coding, following the client’s Corporate Coding Compliance Plan and Quality Review guidelines.
  • Provide feedback to coding staff on audit results.
  • Provide training on areas where coding compliance is not met.
  • Maintain ongoing communication with management, coding staff and clients to ensure target coding compliance goals are met.
  • Perform QA reports.
  • Claims edit resolution
  • Other duties as assigned

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Job Requirements

EDUCATION:

Baccalaureate degree in health information management or similar

Associate degree in health information management or similar

RHIT, RHIA and/or CCS required

AHIMA ICD-10-CM/PCS a plus

CPC credential will be considered if candidate is willing to obtain an AHIMA credential within 6 months of hire.

EXPERIENCE:

High level coding expertise in IPPS and OPPS.

LCD/NCD full understanding of what they are and ability to research

Ability to research payor policies

Experience in charge reviews " knowledge of chargemaster information in order to understand why something may edit out

Problem solving skills " not just looking at the coding on an account, but ability to see bigger picture to determine what is wrong

Knowledge of EPIC, and computer skills in Microsoft Office products (Word, Excel,
PowerPoint, and Access)

Ability to work independently in a fast-paced role

Ability to prioritize, and meet multiple deadlines

Strong communication, administrative and organizational skills

Ability to multi-task and act effectively under pressure with initiative, tact, and poise

Participate in special projects as needed

Qualifications

To Become A Member:

​Please visit www.mommyjobsonline.com and click on Join Now. You will need select the Medical Coding Remote Job Bank Registry to become a lifetime member to get connected with this client to begin their hiring process. Please email us your resume after you register with your qualifications and work history.

Please reference agent id code MJOLLecia on your registration submission.

Mommy Jobs Online is accepting pre-screening interviews, so please call 1-405-418-6160 and ask for Kimberly.

Jobseeker Live Chat - https://tawk.to/chat/5bd13d86476c2f239ff5dd42/default

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