Florida Licensed Coding Auditor

Virtual Vocations Inc; United States; Remote; USD 75,000 - 110,000; Full time

Job summary

Virtual Vocations Inc in the United States is seeking a full-time Florida Licensed Coding Auditor who will conduct pre-bill high-risk audits, validate DRG integrity, and collaborate with clinical teams remotely. You will work with coding teams and CDI to resolve complex documentation scenarios, leveraging your 6+ years of acute care coding experience and CCS certification.

This remote role emphasizes accurate coding practices and collaboration across clinical teams from a Florida-based

Qualifications

• Associates degree in a healthcare-related discipline.
• 6+ years of acute care inpatient or outpatient hospital coding experience.
• 4+ years of auditing experience.
• Certified Coding Specialist (CCS) or equivalent coding certification.
• Advanced knowledge of ICD-10-CM/PCS or CPT/HCPCS coding methodologies.

Responsibilities

• Conduct pre-bill high-risk audits targeting complex inpatient and outpatient cases
• Perform advanced DRG validation and ensure appropriate application of coding methodologies
• Collaborate with coding teams and clinical documentation improvement (CDI) to resolve complex documentation scenarios

Education

Associates degree in a healthcare-related discipline

Job description

To support high-quality coding practices, the full-time Florida Licensed Coding Auditor will conduct pre-bill high-risk audits, validate DRG integrity, and collaborate with clinical teams remotely.

Key responsibilities

• Conduct pre-bill high-risk audits targeting complex inpatient and outpatient cases
• Perform advanced DRG validation and ensure appropriate application of coding methodologies
• Collaborate with coding teams and clinical documentation improvement (CDI) to resolve complex documentation scenarios

Required qualifications

• Associates degree in a healthcare-related discipline
• 6+ years of acute care inpatient or outpatient hospital coding experience
• 4+ years of auditing experience
• Certified Coding Specialist (CCS) or equivalent coding certification
• Advanced knowledge of ICD-10-CM/PCS or CPT/HCPCS coding methodologies