Remote Hospital Coding Auditor - Inpatient/Outpatient Expert

ROI Healthcare Solutions, LLC; United States; Remote; USD 60.000 - 90.000; Vollzeit

Benefits dieser Stelle

401(k)

Health insurance

Life insurance

Paid time off

Vision insurance

Zusammenfassung

ROI Healthcare Solutions, LLC is seeking a Remote Full-Time Inpatient/Outpatient Auditor with 5+ years of acute care auditing experience. The role involves auditing hospital claims, ensuring coding compliance, and presenting findings to clinicians and staff.

Candidate must possess at least two active coding credentials (CCS, CCS-P, CPC, CDIP, RHIT, RHIA) and strong medical terminology knowledge. AA degree or equivalent preferred. Proficiency in MS Office is required.

Qualifikationen

• Minimum of five years’ experience auditing inpatient and outpatient charts in an acute care hospital.
• Two active coding credentials preferred (CCS/CCS-P/CPC/CDIP/RHIT/RHIA).
• Strong knowledge of medical terminology and coding guidelines.
• Excellent oral and written communication skills.
• AA degree or equivalent preferred.
• Proficiency with Microsoft Office (Excel and Word).

Aufgaben

• Perform in-depth quality assurance audits of hospital claims to support ICD-10-CM/ICD-10-PCS and DRG assignments.
• Audit patient records for coding compliance with regulations and guidelines.
• Identify over- or under-coding and documentation issues.
• Prepare detailed audit reports and present findings to physicians and staff.

Kenntnisse

Auditing experience

Coding knowledge

MS Office

Communication skills

Pre-hire testing

Ausbildung

AA degree

Jobbeschreibung

ROI Healthcare Solutions, LLC is seeking a Remote Full-Time Inpatient/Outpatient Auditor with 5+ years of acute care auditing experience. The role involves auditing hospital claims, ensuring coding compliance, and presenting findings to clinicians and staff.

Candidate must possess at least two active coding credentials (CCS, CCS-P, CPC, CDIP, RHIT, RHIA) and strong medical terminology knowledge. AA degree or equivalent preferred. Proficiency in MS Office is required.