Coding Auditor, Senior Associate

Gainwell Technologies LLC; Columbus (OH); Remoto; USD 54.000 - 77.000; Tempo pieno

Vantaggi offerti da questo lavoro

401(k) match

Health benefits

Educational assistance

Flexible vacation policy

Descrizione del lavoro

Gainwell Technologies LLC is seeking a Coding Auditor to review medical record documentation for accuracy of principal and secondary diagnosis and procedures. You will apply advanced ICD-10 coding expertise and use HMS systems to document audit determinations and rationale.

You will maintain up-to-date coding guideline knowledge and complete CEUs, while meeting productivity and quality standards. This remote role offers flexible hours and opportunities for professional growth.

Competenze

• AHIMA or AAPC credential required (CPC/CCS/COC/RHIA/RHIT).
• 3+ years coding inpatient or outpatient claims required.
• Proficient in ICD-10 CM/PCS, APC, HCPCS and CPT coding methodology.

Mansioni

• Performs audits of medical record documentation to determine accuracy of diagnoses and procedures.
• Adheres to coding guidelines, clinics and regulatory mandates.
• Draws on advanced ICD-10 coding expertise to substantiate conclusions.
• Utilizes HMS auditing systems to document audit determinations and rationale.
• Maintains current knowledge of coding guidelines and completes required CEUs to maintain certification.
• Attends training and meetings to enhance skills and knowledge of policies and regulations.

Conoscenze

AHIMA/AAPC credentials (CPC/CCS/COC/RH

Strumenti

ICD-10 CM

ICD-10-PCS

APC

HCPCS

CPT coding

Descrizione del lavoro

Summary

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Your role in our mission

• Performs audits of medical record documentation to determine the accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes. Adheres to official coding guidelines, coding clinics and regulatory guidelines and mandates. Draws on advanced ICD-10 coding expertise to substantiate conclusions. Utilizes HMS proprietary auditing systems with a high level of proficiency to document audit determinations and rationale.
• Consistently achieves productivity and quality performance standards established by management.
• Actively cross-trains to perform reviews of multiple claim types to provide a flexible workforce to meet client needs.
• Assists management with training new Coding Auditors to include daily monitoring, mentoring, feedback and education.
• Maintains current knowledge of coding guidelines and successfully completes required CEUs to maintain coding certification.
• Responsible for attending training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations.

What we're looking for

• 1+ years active professional credentials through AHIMA or AAPC: CPC, CCS, COC, RHIA, RHIT; required
• 3+ years coding inpatient or outpatient claims; required
• Demonstrated proficiency in medical record auditing and ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodology.
• Demonstrates a thorough understanding of the APR-DRG, AP-DRG, and MS-DRG
• Demonstrated experience in medical record coding and auditing.

What you should expect in this role

• Remote (work from home) environment within the United States
• Benefits on first day of employment
• Clear path to advancement with training and leadership

The pay range for this position is $54,100.00 - $77,300.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.