Remote Inpatient Auditor: ICD-10/PCS & CPT Reviews

Omega Healthcare Management Services; Boca Raton (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

Omega Healthcare Management Services seeks an External Auditor Inpatient to review inpatient, outpatient, and physician services medical records for coding accuracy and data quality, driving ICD-10-CM/PCS, CPT-4/HCPCS codes and APC assignments.

You will identify physician query opportunities, assess POA and discharge dispositions, and prepare Quality Review reports for clients while ensuring HIPAA compliance. This remote, full-time role requires HIM experience and AHIMA coding credentials.

Qualifications

• Associate’s Degree or equivalent training acquired through on-the-job experience.
• Must have at least two years of HIM experience, preferably as an Auditor.
• At least one year of auditing experience.
• Minimum of successful completion of an AHIMA approved Coding Certificate Program.

Responsibilities

• Review inpatient, outpatient, or physician services medical records for accuracy of coding and data quality.
• Identify POA indicators, APR/SOI/ROM assignment for inpatient cases and outpatient cases.
• Maintain auditing productivity based on client and Omega requirements.
• Complete Quality Review reports timely and submit to client for review.
• Utilize ICD-9-CM/ ICD-10-CM/ ICD-10-PCS and CPT guidelines in reviews.

Skills

HIM experience

Auditing

Coding compliance

POA review

Medical records review

Communication skills

Education

Associate degree or equivalent

AHIMA Coding Certificate Program

Tools

Microsoft Office

ADP

Oracle

E1

Job description

Omega Healthcare Management Services seeks an External Auditor Inpatient to review inpatient, outpatient, and physician services medical records for coding accuracy and data quality, driving ICD-10-CM/PCS, CPT-4/HCPCS codes and APC assignments.

You will identify physician query opportunities, assess POA and discharge dispositions, and prepare Quality Review reports for clients while ensuring HIPAA compliance. This remote, full-time role requires HIM experience and AHIMA coding credentials.