Remote HIM Auditor & Compliance Lead

Omega Healthcare Management Services Pvt. Ltd.; Boca Raton, Northern (FL, KY); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Omega Healthcare Management Services is seeking a Lead Compliance and Quality Audit Manager to perform reviews of inpatient, outpatient, and physician services medical records for coding accuracy and data quality. The role requires identifying physician query opportunities, assessing POA and modifier accuracy, and supporting MS-DRG and APC assignments.

This is a full-time remote position with a focus on compliance and quality audits.

Qualifications

• Associate’s Degree or equivalent training.
• Must have at least two years of HIM experience, preferably as an Auditor.
• At least one year of auditing experience.
• Successful completion of an AHIMA approved Coding Certificate Program.
• CCS, CPC, CPC-P, CPC-H, RHIA or RHIT certifications are desirable.

Responsibilities

• Review inpatient, outpatient, or physician services medical records for accuracy of coding and data quality.
• Assess coding accuracy of ICD-10-CM, ICD-10-PCS, CPT-4/HCPCS codes and APC assignments.
• Identify physician query opportunities and write compliant queries.
• Ensure POA, discharge disposition and modifier accuracy.
• Prepare Quality Review reports and communicate findings to clients.

Education

AHIMA Coding Certificate Program

Associate’s Degree or equivalent training

CCS, CPC, CPC-P, CPC-H, RHIA or RHIT

Job description

Omega Healthcare Management Services is seeking a Lead Compliance and Quality Audit Manager to perform reviews of inpatient, outpatient, and physician services medical records for coding accuracy and data quality. The role requires identifying physician query opportunities, assessing POA and modifier accuracy, and supporting MS-DRG and APC assignments.

This is a full-time remote position with a focus on compliance and quality audits.