Remote Medical Coding Auditor

Oxford Global Resources; United States; On-site; USD 70,000 - 90,000; Full time

Job summary

A healthcare consulting firm is seeking a HIM Coding Auditor to conduct internal and external coding audits. The role includes providing feedback to correct errors and ensuring compliance with productivity standards. Candidates must have auditing experience and relevant certifications such as RHIA, RHIT, CCS, or CPC. Excellent communication skills are essential for training and educating clients. The position offers opportunities for professional development and working in a dynamic environment.

Qualifications

• 3+ years of auditing experience required.
• Must have thorough knowledge of MS-DRGs, APR-DRGs, and APCs.
• Excellent verbal and written communication skills essential.

Responsibilities

• Conduct internal and external coding audits.
• Communicate feedback to coders for error correction.
• Coordinate with Compliance and Audit Manager on performance issues.
• Provide training and education to clients on policies.

Skills

Auditing experience

ICD-10-CM proficiency

ICD-10-PCS proficiency

CPT coding

Analytical skills

Communication skills

Multitasking ability

Education

RHIA

RHIT

CCS

CPC

Job description

The HIM Coding Auditor is responsible for supporting the HIM Division by conducting internal and external coding related audits. This position will perform client-based coding quality audits and post assessments (quality control audits). The Auditor serves as a resource for internal and external customers.

RESPONSIBILITIES

• Perform internal and external coding audits and communicate feedback to coders to correct errors and improve skill
• Ensure all HIM Consultants meet 95% or better accuracy and productivity standards as outlined in the HIM Compliance & Audit Plan and as applicable for the client they are supporting
• Coordinate with the Compliance and Audit Manager to perform education, action plans, or other measures necessary to assist those who are falling below the minimum 95% standard or are not meeting productivity standards
• Maintain expected productivity metrics for performing audits as outlined in the annual goals and objectives
• Notify Compliance & Audit Manager of any concerns regarding attendance, communication or general performance of any consultants within an audit
• Provide external education which include on-site education or web-based in-service sessions
• Assist and support Recruiters for further investigation of a Consultant’s skills as required for the prospective job submission
• Attend and train client trainings for onboarding and orientation of consultants on new assignments
• Act as point of contact to disseminate instructions and communications from the clients to the Consultants regarding policies, processes and productivity expectations
• Ensure all processes and policies are clearly documented and approved by client
• Facilitate issue resolution in conjunction with the Engagement Manager any issues escalations

QUALIFICATIONS

• RHIA, RHIT, CCS or CPC required
• 3+years of auditing experience
• Thorough working knowledge and demonstrated experience in both MS-DRGs, APR-DRGs, and APC’s required
• Proficiency in the following code sets required: ICD-10-CM, ICD-10-PCS, CPT and professional services E&M coding.
• Working knowledge of state and federal regulations regarding fraud and abuse laws required
• Excellent verbal and written communications skills is a must
• Ability to multitask in a fast-paced environment
• Solid analytical and problem-solving skills