Inpatient Coding Auditor, Fully Remote, CCS or RHIT certified, FT, 08A-4:30P

Alaska Department of Law; United States; Remote; USD 80,000 - 100,000; Full time

Job summary

Le département de la justice de l'Alaska recherche un auditeur de codage expérimenté pour éduquer le personnel de codage et effectuer des audits de données cliniques. Le candidat idéal aura une certification appropriée et une expérience significative en audit de codage, et sera responsable de la qualité des documents médicaux et des présentations de formation.

Qualifications

• Certification et expérience en tant qu'auditeur de codage requises.
• Connaissance approfondie des conventions de codage et des GUIDES.
• Préférence pour un diplôme en gestion de l'information sanitaire.

Responsibilities

• Former le personnel de codage et effectuer des audits de données cliniques.
• Évaluer l'exactitude et la cohérence des données de codage.
• Préparer des rapports et des présentations pour la formation.

Skills

ICD-10-CM/PCS

CPT-4

HCPCS coding conventions

Education

High School diploma or equivalent

AHIMA Certified Coding Specialist (CCS)

Registered Health Information Technician (RHIT)

Bachelor's Degree in Health Information Management

Tools

MS Word

Excel

PowerPoint

Job description

Description:

The primary purpose of this position is to provide ongoing education to Coding Staff. Additionally, this individual will conduct complex audits of clinically coded data to evaluate coding accuracy, completeness, and consistency. The role requires expertise in Outpatient Prospective Payment System (OPPS) or Inpatient Prospective Payment System (IPPS). Responsibilities include independently reviewing coded data quality through analysis of outpatient or inpatient records, performing concurrent audits on APC, ASC, or MS-DRGs, and assessing the quality of medical record documentation for accurate coding. The individual will prepare reports, track and analyze audit results, and develop presentations for staff education. Collaboration with HIM coding management is essential to prepare training for coders, clinical departments, and physicians to improve documentation. The goal is to create consistency and efficiency in claims processing and data collection to optimize reimbursement. The estimated pay range is $30.74 - $39.96 per hour, depending on experience.

Qualifications:

• High School diploma, GED, certification, training, or experience.
• AHIMA Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) required.
• Preferably a Bachelor's Degree in Health Information Management or equivalent.
• Proficient in ICD-10-CM/PCS, CPT-4, HCPCS coding conventions, guidelines, encoder, and coverage determinations.
• Proficient in MS Word, Excel, and PowerPoint.

Experience:

• Minimum of 3 years of coding auditor experience.

All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.