Outpatient Complex Audit Specialist/Full Time/Remote

Talentify.io; United States; Remote; USD 45,000 - 65,000; Full time

Job summary

Talentify.io offers a remote position in Healthcare Revenue Cycle Management, focusing on medical coding. The role involves conducting audits, ensuring documentation accuracy, and supporting educational programs. Candidates require a high school diploma and coding experience, with opportunities for career advancement and a supportive work environment.

Qualifications

• Minimum of two years of coding experience required.
• Prior experience in a healthcare revenue cycle position required.

Responsibilities

• Conduct audits of medical record documentation for outpatient encounters.
• Utilize coding expertise to ensure compliance with coding guidelines.
• Support the Documentation & Coding Provider Education Program.

Skills

Organizational skills

Time management skills

Proficiency in ICD-10 CM

Proficiency in CPT

Proficiency in HCC

Proficiency in HCPCS coding

Education

High school diploma or G.E.D. equivalent

1-2 years of college or additional coursework in Accounting, Business, Healthcare Administration, or Medical Record Sciences

Job description

Employer Industry: Healthcare Revenue Cycle Management

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Ability to work remotely, providing flexibility in your work environment
- Supportive and collaborative work environment
- Chance to make a positive impact on the quality and completeness of medical record documentation
- Involvement in data-driven projects and administrative decision-making related to Revenue Cycle

What to Expect (Job Responsibilities):
- Conduct audits of medical record documentation for outpatient encounters, including clinic visits and outpatient surgical procedures
- Utilize coding expertise to ensure compliance with Local, State, and Federal coding guidelines and regulations
- Abstract information from electronic health records for the compilation of an OP CDI Education database
- Support the Documentation & Coding Provider Education Program and monthly provider performance scorecards
- Collaborate with colleagues to identify patterns and trends that support root cause analysis

What is Required (Qualifications):
- High school diploma or G.E.D. equivalent required
- Minimum of two (2) years of coding experience required
- Prior experience in a healthcare revenue cycle position required
- Strong organizational and time management skills to effectively prioritize work
- Proficient in ICD-10 CM, CPT, HCC, and HCPCS coding

How to Stand Out (Preferred Qualifications):
- Additional specialty coding certification or 5-7 years of coding experience preferred
- One to two (1-2) years of college or additional coursework in Accounting, Business, Healthcare Administration, or Medical Record Sciences preferred
- In-depth knowledge of anatomy, physiology, pathophysiology, and medical terminology
- Ability to work independently and communicate effectively with colleagues and supervisors

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