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

Keane & Beane, P.C.; United States; Remote; Full time

Job summary

A leading healthcare company is seeking a Coding Auditor to ensure coding quality and provide training. This role involves auditing medically coded data, preparing reports, and educating coding staff on documentation improvement. Candidates should have relevant certifications and experience in coding auditing.

Qualifications

• 3 years of coding auditor experience required.
• AHIMA Certified Coding Specialist or AHIMA Registered Health Information Technician required.
• Prefer AHIMA-approved ICD-10-CM/PCS trainer.

Responsibilities

• Review coded data quality through ongoing analysis of outpatient or inpatient records.
• Perform audits on accuracy of APC, ASC, or MS-DRGs.
• Track and trend audit results and create presentations for education.

Skills

ICD-10-CM/PCS

CPT-4

HCPCS coding conventions

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Education

Bachelor's Degree in Health Information Management

High School Diploma, Certification, GED, Training

Job description

Description:

The primary purpose of this position is to provide continuous education to Coding Staff. Additionally, this individual will be responsible for complex audits of clinically coded data to assess coding quality for accuracy, completeness, and consistency. This individual will serve as an expert in the Outpatient Prospective Payment System or Inpatient Prospective Payment System.

Responsibilities include independently reviewing coded data quality through ongoing analysis and evaluation of outpatient or inpatient records, performing concurrent audits on accuracy of APC, ASC, or MS-DRGs, and assessing the quality of medical record documentation needed for accurate coding. The role involves preparing reports, tracking and trending audit results, and creating presentations for coding staff education. The individual will collaborate with HIM coding management to prepare education and training for coders, clinical departments, and physicians for documentation improvement on a regular basis. The goal is to create consistency and efficiency in outpatient or inpatient claims processing and data collection to optimize reimbursement for APC, ASC, or DRGs.

Estimated pay range for this position is $30.74 - $39.96 per hour, depending on experience.

Qualifications:

Degrees:

• High School, Certification, GED, Training, or Experience

Licenses & Certifications:

• AHIMA Certified Coding Specialist
• AHIMA Registered Health Information Technician

Additional Qualifications:

• Prefer Bachelor's Degree in Health Information Management or equivalent
• CCS or RHIT required
• Prefer AHIMA-approved ICD-10-CM/PCS trainer
• Proficient in ICD-10-CM/PCS, CPT-4, and HCPCS coding conventions and guidelines, encoder, and National and Local Coverage Determinations
• Proficient in MS Word, Excel, and PowerPoint

Minimum required experience: 3 years of coding auditor experience.

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