Facility Outpatient Coding Auditor

Managed Resources, Inc.; United States; Remote; USD 60,000 - 80,000; Part time

Job summary

A division of Managed Resources, Inc., CodingAID seeks a Facility Outpatient Coding Auditor to work remotely. This part-time role focuses on auditing and providing documentation feedback, requiring strong coding credentials and expertise in ICD-10-CM, CPT, and HCPCS. Ideal candidates must meet productivity and accuracy standards, ensuring compliance with health information regulations.

Qualifications

• Minimum 5 years experience abstracting ICD-10-CM, CPT, HCPCS.
• Experience performing QA on coders for 3 years.
• Proficiency in Microsoft Excel and EMR systems.

Responsibilities

• Audit ICD-10-CM, CPT, HCPCS with documentation improvement.
• Track auditing projects, ensure deadlines and quality.
• Provide coding recommendations and maintain accuracy.

Skills

Medical Terminology

Communication

Data Entry

Education

RHIT or RHIA or CPC or CCS

Tools

Microsoft Excel

EMR Systems

Job description

A Little About Us:

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 over 30 years with proven success in meeting their operational challenges. Learn more about our mission and vision here.

FACILITY OUTPATIENT CODING AUDITOR – CODINGAID
Part Time | Remote
Purpose:

The primary responsibility of the Facility OP Auditor is to audit ICD-10-CM, CPT, HCPCS and Modifier assignment and identify documentation improvement based on medical record documentation, as needed for various client projects.

Reports to:

Manager of Facility Coding & Audit Services

Accountabilities:

• Meet client deadlines
• Meet and exceed minimum productivity standards
• Pass quality reviews

Essential Job Functions:
Complete the following functions in accordance with CodingAID policies:

• Writing well written coding recommendations including coding clinics and guidelines.
• QA internal coders and provide results directly to coder.
• Track and monitor that auditing projects are meeting deadlines, including monthly and quarterly audits of internal coders.
• Enter data into audit software and/or audit detail report.
• Evaluate the overall quality of facility documentation to provide feedback to the client for education opportunities.
• Perform internal coder quality reviews.
• Coding recommendations to incorporate into the Executive Summary.
• Must be able to meet the minimum productivity standards.
• Must meet or exceed 95% accuracy rate on quality reviews.
• Ensure accurate and timely completion of audit report.
• Enter time accurately and timely into our timekeeping system.
• 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
• Ensure compliance with federal and state laws, regulations, and standards related to health information and coding principles.
• Other duties as assigned

Ideal candidate will possess the following:

• Must have one of the following current credentials, RHIT, RHIA, CPC and/or CCS
• AHIMA ICD-10-CM.
• A minimum of five years’ experience required abstracting ICD-10-CM, CPT, HCPCS and Modifier assignment.
• A minimum of three years' experience performing QA on coders
• Requires advanced technical knowledge in specific specialties as assigned.
• 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.

Required Specialties Include:
Peds
ED w/ E/M
SDS
OBS
I/I
Diagnostic Radiology
Cardiology
GI
Pulmonary



Managed Resources is an Equal Opportunity Employer (EOE) M/F/D/V/SO

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