Inpatient / Outpatient Coding Compliance Auditor
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 position is currently available. Benefits offered for Full Time employees. Candidates MUST have a minimum of five years’ inpatient/outpatient auditing experience with an acute care hospital auditing inpatient and outpatient charts. Auditor will conduct coding assessments and billing audit validations to assist clients in preventing noncompliance issues.
Inpatient / Outpatient Compliance AuditorJob 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
Inpatient / Outpatient Compliance AuditorJob 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 Inpatient / Outpatient Compliance AuditorJob 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: $40.00 - $45.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- IP and Op Auditing: 5 years (Required)
License/Certification:
- CCS, CCS-P, COC, CDIP, RHIT or RHIA Certificate (Required)
Work Location: Remote
