Inpatient Coding Quality Auditor - Remote

Conifer Health Solutions; Frisco (TX); Remote; USD 60,000 - 75,000; Full time

Job summary

A leading company in healthcare solutions is seeking an Inpatient Coding Quality Auditor to conduct audits and ensure coding accuracy. The role involves reviewing medical records, consulting with facility leaders, and staying updated with coding guidelines. This remote position requires a detail-oriented professional with at least three years of coding experience and relevant certifications.

Qualifications

• Minimum three years of hospital and consulting coding experience.
• AHIMA credentials or AAPC certification required.

Responsibilities

• Conducts data quality audits of inpatient admissions and outpatient encounters.
• Reviews medical records for accurate diagnosis and procedure coding.
• Identifies documentation improvement opportunities.

Skills

Detail-oriented

Knowledge of medical terminology

Education

Associates degree

Tools

MS Office

Job description

Inpatient Coding Quality Auditor - Remote

Join to apply for the Inpatient Coding Quality Auditor - Remote role at Conifer Health Solutions

Job Summary

Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment in compliance with official guidelines, supported by clinical documentation. Validates abstracted data elements crucial for appropriate payment methodology.

Essential Duties and Responsibilities

• Consults facility leaders and staff on best practices, methodology, and tools for accurate coding.
• Reviews medical records for accurate diagnosis and procedure coding, adhering to Standards of Ethical Coding (AHIMA).
• Validates claim data, including discharge disposition and MS-DRG assignment.
• Uses specialized training to assign ICD-9, CPT-4 codes accurately.
• Identifies documentation improvement opportunities and communicates issues for follow-up.
• Stays current with coding guidelines, attends seminars, and reviews coding updates regularly.

Knowledge, Skills, Abilities

• Achieves 95% coding accuracy and quality.
• Knowledge of medical terminology, ICD-9-CM, and CPT-4 codes.
• Detail-oriented with ability to work independently and in a virtual setting.
• Proficient in MS Office.

Qualifications

• Associates degree or equivalent experience.
• Minimum three years of hospital and consulting coding experience.
• AHIMA credentials or AAPC certification.