Outpatient Complex Audit Specialist/Full Time/Remote

Henry Ford Health; Detroit (MI); Remote; USD 55,000 - 75,000; Full time

Job summary

Henry Ford Health is hiring an Outpatient Complex Audit Specialist for a remote full-time role. You will utilize your coding expertise to audit outpatient medical records, ensuring compliance with regulations. Ideal candidates will have experience in coding within the healthcare sector and strong communication skills, working independently in a supportive environment.

Qualifications

• Minimum 2 years of coding experience required.
• Strong knowledge of anatomy and medical terminology.
• Ability to work independently, proficient in coding systems.

Responsibilities

• Facilitate audits of quality and completeness of medical records.
• Evaluate medical records for compliance with coding guidelines.
• Abstract information from electronic health records to support education.

Skills

Medical terminology

ICD-10 CM coding

CPT coding

HCPCS coding

Anatomy knowledge

Effective communication

Organizational skills

Education

High school diploma or G.E.D.

Specialty coding certification

2 years of college or coursework in Healthcare Administration

Job description

Outpatient Complex Audit Specialist/Full Time/Remote

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Position Overview

Under the direction of the Outpatient Audit, Analytics & Technology Supervisor, in conjunction with OP Audit Analysts and Coordinators, the specialist will utilize documentation and coding expertise to facilitate audits of the quality and completeness of medical record documentation for outpatient encounters, including clinic visits, outpatient surgical procedures, telemedicine, and other ancillary services. Responsibilities include evaluating and analyzing medical records to ensure compliance with coding guidelines and regulations, and abstracting information from electronic health records to support education programs, provider performance, revenue cycle projects, and administrative decision-making.

Education and Experience Requirements

• High school diploma or G.E.D. required.
• Minimum of two (2) years of coding experience required.
• Additional specialty coding certification or 5-7 years of coding experience preferred.
• Prior experience in a healthcare revenue cycle position required.
• Specialty coding experience preferred.
• One to two (1-2) years of college or coursework in Accounting, Business, Healthcare Administration, or Medical Record Sciences preferred.
• Strong knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
• Excellent organizational and time management skills.
• Effective communication skills with colleagues, supervisors, and managers.
• Ability to work independently and remotely.
• Proficient in medical terminology, ICD-10 CM, CPT, HCC, and HCPCS coding.
• Ability to recognize patterns and trends, and escalate issues as needed.
• Willingness to assist team members.

Additional Information

• Organization: Corporate Services
• Department: CDI - Education Support
• Shift: Day Job
• Union Code: Not Applicable

Position Details

• Seniority level: Associate
• Employment type: Full-time
• Job functions: Accounting, Auditing, Finance
• Industries: Hospitals and Healthcare, Insurance, Wellness and Fitness Services

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