Outpatient Complex Audit Specialist/Full Time/Remote

Henry Ford Health System; Detroit (MI); Hybrid; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare organization is seeking a Coding Specialist skilled in auditing medical records for compliance and quality. The role offers opportunities for career advancement and a flexible work environment, including remote options. Candidates should have at least two years of coding experience and strong knowledge of medical coding systems, along with excellent organizational skills.

Benefits

Flexible work environment

Career advancement opportunities

Collaborative work culture

Qualifications

• Minimum of two years coding experience required.
• Thorough knowledge of anatomy, physiology, medical terminology, and coding systems.
• Proficient in ICD-10 CM, CPT, HCC, and HCPCS coding.

Responsibilities

• Conduct audits of medical record documentation for outpatient encounters.
• Utilize coding expertise for abstracting data from electronic health records.
• Compile and maintain an OP CDI Education database.

Skills

Organizational skills

Time management

Education

High school diploma or G.E.D.

Specialty coding certification

1-2 years of college in relevant fields

Tools

ICD-10 CM

CPT

HCC

HCPCS

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $(amount)
- Opportunity for career advancement and growth within the organization
- Flexible work environment with the ability to work remotely
- Supportive and collaborative work environment
- Contribute to improving the quality and completeness of medical record documentation

What to Expect (Job Responsibilities):
- Conduct audits of medical record documentation for outpatient encounters, ensuring quality and compliance
- Utilize coding expertise to abstract information from electronic health records for various projects
- Compile and maintain an OP CDI Education database to support provider education and performance metrics
- Analyze coding patterns and trends, escalating issues to supervisors for root cause analysis
- Assist team members and collaborate effectively with colleagues and management

What is Required (Qualifications):
- High school diploma or G.E.D. equivalent required
- Minimum of two (2) years coding experience required
- Prior experience in a healthcare revenue cycle position required
- Must possess thorough knowledge of anatomy, physiology, medical terminology, and coding systems
- Strong organizational and time management skills to prioritize work effectively

How to Stand Out (Preferred Qualifications):
- Additional specialty coding certification or 5-7 years of coding experience
- One to two (1-2) years of college or additional coursework in Accounting, Business, Healthcare Administration, or Medical Record Sciences
- Specialty coding experience preferred
- Proficient in ICD-10 CM, CPT, HCC, and HCPCS coding
- Ability to work independently and communicate effectively with colleagues

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