HIM Coding Auditor - REMOTE - Inpatient and Outpatient

Provider Reimbursement Consultants; Jacksonville (FL); Remote; USD 10,000 - 60,000; Full time

Job summary

A national healthcare consulting firm in Jacksonville, FL, is seeking candidates for remote positions in coding compliance reviews. The role involves conducting inpatient and outpatient reviews, auditing medical records for accuracy, and providing educational sessions based on findings. Ideal candidates will have expert knowledge in hospital coding guidelines and strong presentation skills.

Qualifications

• Expert-level knowledge of hospital coding guidelines is required.
• Ability to create comprehensive reports based on coding accuracy findings.
• Experience in providing educational sessions is preferred.

Responsibilities

• Perform inpatient and outpatient coding compliance reviews/audits.
• Audit medical records for coding accuracy.
• Create reports indicating review findings.
• Evaluate clinical documentation for query opportunities.
• Conduct educational sessions for coders and CDI.

Skills

Inpatient DRG reviews

Outpatient Coding reviews

Medical Records auditing

Clinical Documentation evaluation

Educational presentation skills

Job description

Overview

The Position: NORELOCATION required, work from HOME. FULL AND PART TIME POSITIONS AVAILABLE. Responsible for conducting Inpatient and/or Outpatient Coding Compliance Reviews/Audits at an expert level. The candidate should be able to provide the review/audit findings in a detailed report, and should feel comfortable presenting the findings in a REMOTE education session. The position provides an exciting opportunity to be recognized as an industry leader/expert and educator.

Key Responsibilities

• Must be able to perform Inpatient DRG reviews and/or Outpatient Coding reviews
• Audit Medical Records for Coding Accuracy with an expert level knowledge of hospital coding guidelines
• Create comprehensive reports to indicate review findings of the record review, to include coding accuracy rates
• Evaluate Clinical Documentation and Physician Query Opportunities
• Provide Coder and CDI Educational sessions based on the review findings

About the Company

Provider Reimbursement Consultants, Inc. (PRC) is an established National Healthcare Consulting Firm, located in Jacksonville, FL. PRC was established in 1979, for the expressed purpose of providing Hospitals and other Health Care providers with the highest quality of consulting services available in the areas of Coding, Compliance, and Reimbursement. For over forty five (45) years we have conducted thousands of reviews nationwide for clients ranging from small critical access hospitals (CAH) to large Medical Centers and Health Systems/Chains, as well as clinics and physician practices. Some of our current clients can be reviewed on our website: www.prc-inc.com/html/references.html. PRC’s main consulting services are provided to Hospitals in the areas of Coding, Billing, Revenue Cycle. The major objectives of all PRC Reviews are compliance, accuracy, education, and optimum reimbursement. Visit our company website at www.PRC-INC.com.