Facility Inpatient Auditor

Managed Resources, Inc.; United States; Remote; USD 55,000 - 75,000; Full time

Job summary

A leading provider of medical coding support is seeking a Facility Inpatient Auditor. This role is responsible for auditing various coding practices and ensures compliance with federal regulations. The ideal candidate will possess significant experience in inpatient coding and auditing along with relevant certifications, contributing to both client education and documentation improvement. This position can be part-time or full-time and is entirely remote.

Qualifications

• Minimum of 5 years' experience in auditing and coding.
• High-level coding expertise in IPPS and/or OPPS.
• Must have relevant credentials (RHIT, RHIA, CCS).

Responsibilities

• Audit ICD-10-CM/PCS and present documentation indicators.
• Evaluate physician documentation for educational feedback.
• Ensure compliance with health information standards.

Skills

facility coding

facility auditing

ICD-10 PCS

inpatient auditing

inpatient coding

QA

Education

RHIT

RHIA

CCS

Tools

Microsoft Excel

Microsoft Word

EMR systems

Job description

Facility Inpatient Auditor
Part-time or Full-Time, Remote

CodingAID, a division of Managed Resources Inc. is a nationwide leading provider of medical coding support, coding and compliance reviews, educational programs, recruitment, revenue cycle management, and many other managed healthcare solutions. We’re proud to have served healthcare organizations and medical groups for 30years with proven success in meeting their operational challenges.

Purpose

The primary responsibility of the Facility Auditor is to audit ICD-10-CM/PCS, present on admission indicators (“POA”), APR-DRG & MS-DRG, HCPCS, CPT, Modifiers & APC assignment and identify documentation improvement based on medical record documentation, as needed for various client projects.

Job Description

• 
  Abstract all ICD-10-CM/PCS, present on admission indicators (“POA”), APR-DRG & MS-DRG, HCPCS, CPT, Modifiers & APC assignment from the medical record documentation.
  

• 
  Enter data into audit software and/or audit detail report.
  

• 
  Evaluate the overall quality of physician documentation to provide feedback to the client for education opportunities.
  

• 
  Perform internal coder quality reviews.
  

• 
  Provider recommendations to incorporate into the Executive Summary.
  

• 
  Must be able to meet the minimum productivity standards.
  

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  Must meet or exceed 95% accuracy rate on quality reviews.
  

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  Ensure accurate and timely submission of completed report to clients.
  

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  Enter time accurately and timely into our timekeeping system.
  

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  Comply with policies regarding the use and disclosure of protected health information which includes accessing and using protected health information only to the extent necessary to fulfill the above-mentioned responsibilities
  

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  Ensure compliance with federal and state laws, regulations, and standards related to health information and coding principles.
  

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  Other duties as assigned
  

Qualifications

• Must have one of the following current credentials, RHIT, RHIA and/or CCS
• AHIMA ICD-10-CM/PCS
• High level coding expertise in IPPS and/or OPPS.
• A minimum of five years’ experience required abstracting ICD-10-CM/PCS, present on admission indicators (“POA”), APR-DRG & MS-DRG, HCPCS, CPT, Modifiers & APC assignment
• Requires advanced technical knowledge in specific surgical and medical specialties as assigned including trauma, transplants, burns, NICU, pediatrics& surgery.
• Experience from a trauma level 1 facility with a focus on high dollar accounts andlong stays highly preferred.
• Extensive knowledge of medical terminology and ability to research coding related questions.
• Must have experience with data entry of codes into a database and/or software tool.
• Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems.
• Excellent oral and written communication skills.

Job Requirements

facility coding, facility auditing, icd-10 pcs, inpatient auditing, inpatient coding, QA

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