- Evaluate client coders’ assignment of ICD-10, CPT, and/or HCPCS codes for inpatient, outpatient, and physician practice encounters
- Perform complex concurrent and retrospective analysis of inpatient medical record documentation to validate coded data
- Analyze findings and identify potential root causes of errors
- Prepare summary reports and audit deliverables for clients with supporting references
- Provide second-level review to ensure compliance and appropriate code assignments
- Research, analyze, and respond to compliance, coding, and denials inquiries
- Protect patient and client information confidentiality and follow AHIMA ethical coding standards and official coding guidelines
- Develop and provide coding education to clients as part of the Consulting Services Team
- Conduct assigned audits while meeting productivity standards, including at least 80% billable productive hours when client work is available
- Conduct independent quality assurance of audit results before final submission; maintain at least 95% accuracy
- Report work time and work products accurately and promptly
- Communicate professionally with coworkers and clients
- Provide management with schedules of planned work activities, events, sites, and changes
- Perform other assigned duties
Requirements
- Extensive IP facility and/or OPP facility coding and auditing experience
- AHIMA or AAPC certification required; CCS, RHIT, or RHIA strongly preferred; CIC or COC considered
- Experience with telecommuting and electronic medical record systems required
- Recognized credential from AHIMA or AAPC
- Strong analytical skills
- Proficient computer skills, specifically Microsoft Office products
- Ability to work with multiple and diverse clients and projects
- Ability to work with minimal supervision
- Ability to maintain and access multiple files
- High levels of accuracy and attention to detail
- 5+ years’ experience coding and/or auditing in an acute care facility or clinic, involving the patient types listed in the job summary or other relevant experience
- Ability to work at a computer terminal for 6–8 hours per day
- Ability to lift and move material weighing up to 20 lbs. infrequently
- Maintenance of professional credentials and knowledge through continuing education
Core Competencies
Demonstrates expertise in ICD-10, CPT, and HCPCS coding with a strong focus on compliance and accuracy in coding audits. Proficient in conducting detailed analyses and providing coding education while maintaining high standards of confidentiality and ethical coding practices.
Highest-signal resume keywords
- ICD-10 Coding
- CPT Coding
- HCPCS Coding
- AHIMA Certification
- Coding Auditing Experience
Hard Skills
- Coding Analysis
- Quality Assurance
- Medical Record Documentation
- Error Root Cause Analysis
- Report Preparation
- Compliance Research
- Coding Education Development
- Productivity Standards Management
- Attention to Detail
- Telecommuting Experience
Soft Skills
- Analytical Skills
- Professional Communication
- Minimal Supervision Ability
- Client Relationship Management
- Time Management
Certifications & Qualifications
- AHIMA Certification
- AAPC Certification
- CCS
- RHIT
- RHIA
- CIC
- COC
Industry Keywords
- Inpatient Coding
- Outpatient Coding
- Physician Practice Coding
- Audit Deliverables
- Confidentiality Standards
- Continuing Education
Tools & Technologies
- Electronic Medical Record Systems
- Microsoft Office