Facility Outpatient Auditor - ED, SDS, OBS, I&I

CorroHealth Inc; Mississippi; Hybrid; USD 65.000 - 90.000; Vollzeit

Zusammenfassung

CorroHealth Inc. is seeking a Facility Outpatient Coding Quality Specialist (Auditor) to perform retrospective analyses of medical records and identify coding and billing errors in line with CPT, CMS and AHA guidelines. This REMOTE role requires residency in the United States.

The ideal candidate will hold AAPC or AHIMA certification (CPC, COC, CCS, RHIT, RHIA preferred) and bring experience auditing diagnoses, procedures, and billing codes to ensure compliant reimbursements.

Qualifikationen

• Must be certified through AAPC or AHIMA - CPC, COC / CCS, RHIT, RHIA preferred.

Aufgaben

• Performs complex retrospective analysis of medical record documentation to identify coding and billing errors and inconsistencies according to guidelines of the AHA, CMS, AMA, Clinic Coding Clinic and CPT Assistant.
• Analyzes audit findings to identify potential root causes of coding errors and prevent their reoccurrence
• Provides second –level review of diagnosis, procedure and billing codes to ensure compliance with legal and procedural policies that ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.

Jobbeschreibung

About Us

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

Job Summary

Facility Outpatient Coding Quality Specialist (Auditor) Experience with the following: ED SDS OBS I&I Must be certified through AAPC or AHIMA - CPC, COC / CCS, RHIT, RHIA preferred. This is a REMOTE position. Must live in the United States.

Essential Duties and Responsibilities

Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

• Performs complex retrospective analysis of medical record documentation to identify coding and billing errors and inconsistencies according to guidelines of the AHA, CMS, AMA, Clinic Coding Clinic and CPT Assistant.
• Analyzes audit findings to identify potential root causes of coding errors and prevent their reoccurrence
• Provides second –level review of diagnosis, procedure and billing codes to ensure compliance with legal and procedural policies that ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.
• Research, analyze and