Coding Compliance Auditor

Priority One Staffing Services; Baltimore (MD); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Priority One Staffing Services is seeking a Coding Compliance Auditor for a remote/hybrid position in Baltimore, Maryland. The role involves auditing hospital visits for appropriate reimbursement and ensuring compliance with federal and state regulations.

Candidates should have a minimum of 2 years in ICD-10-CM and ICD-10-PCS, along with inpatient auditing experience. Relevant certifications such as CCS, RHIT, or CIC are required. This is an excellent opportunity for professionals seeking to leverage their coding expertise.

Qualifications

• 2 years of ICD-10-CM, ICD-10-PCS, CPT-4 training.
• Experience in Level 1 Trauma hospital or 4 years in coding inpatient hospital medical records.
• 2 to 3 years in ambulatory coding.

Responsibilities

• Audit hospital Inpatient, Ambulatory Surgery, Observation, and outpatient visits.
• Ensure compliance with federal and state regulations.
• Evaluate and analyze documentation issues with medical staff.

Skills

Inpatient auditing

ICD-10-CM coding

ICD-10-PCS coding

CPT-4 coding

Ambulatory coding

Education

Certified Coding Specialist (CCS)

Registered Health Information Tech (RHIT)

Registered Health Information Administrator (RHIA)

Certified Inpatient Coder (CIC)

Job description

Coding ComplianceAuditor Remote/Hybrid

Accurately audits hospital Inpatient, Ambulatory Surgery, Observation& any outpatient visit for appropriate reimbursement.

Compliance with federal & state regulations according to established ICD-10CM/PCScoding & CPT-4 procedure coding classification.

Clinical coding subject matter expert. Evaluate & analyze documentation issues consulting with medical staff.

Audits complex cases utilizing the ICD-10-cm & ICD-10-PCSnomenclature to ensure accurate APR-DRG/SOI/ROM & POAAssignments

Required qualifications:

Must have inpatient auditing experience.

Minimum 2 years ICD-10-CM,ICD-10-PCS, CPT- 4 training.

Level 1 Trauma hospital experience or 4 years experience with coding inpatient hospital medical records

2 to 3 year ambulatory coding.

Certifications...

Must have at least 1

Certified Coding Specialist(CCS)

Registered Health Information Tech (RHIT)

Registered Health Information Administrator (RHIA)

Certified Inpatient Coder (CIC)