Job Details

Coding Quality Auditor | Remote | GA, FL, NC, NH Residents ONLY

Overview

Full Time - Remote Position. GA, FL, NC, NH Residents ONLY. Monday - Friday. This position reports to the Manager of Coding/CDI and is responsible for ongoing quality review and assessment of coded hospital data. Performs audits on the accuracy of ICD-10, CPT-4, MS-DRG, APR-DRG and APC assignments. Prepares reports for management review and identifies trends. Conducts focused retrospective audits and regularly scheduled audits of individual coders. Manages all audits conducted by internal and external entities and responds to requests for code verification. In conjunction with the Coding Supervisors and Coding Manager, contributes to the development of educational and training opportunities for staff.

Responsibilities

• Ongoing quality review and assessment of coded hospital data.
• Audit the accuracy of ICD-10, CPT-4, MS-DRG, APR-DRG and APC assignments.
• Prepare reports for management review and identify trends.
• Conduct focused retrospective audits and regularly scheduled audits of individual coders.
• Manage all audits conducted by internal and external entities and respond to requests for code verification.
• Contribute, with Coding Supervisors and Coding Manager, to the development of educational and training opportunities for staff.

Qualifications

• Required Education: High School Diploma.
• Preferred Education: Associate or Bachelor's Degree in Health Information Management/Medical Record Administration; equivalent healthcare college degree may also be considered.
• Required Licensure/Certifications: One of the followingRHIA, CCS, or RHIT.
• Preferred Licensure/Certifications: AHIMA ICD-10-CM/PCS Trainer.
• Required Experience: More than five (5) years of hospital inpatient and/or outpatient medical record coding and reimbursement.
• Preferred Experience: Coding audit experience.
• Necessary Skills: PC knowledge; good written and oral communication and customer service skills; proficiency with Microsoft Windows and Office applications (Word, Excel, PowerPoint) and coding/grouping software; detail-oriented, organized and flexible; able to demonstrate initiative and maintain productivity; thorough knowledge of medical terminology, anatomy, and physiology; able to adapt to changing priorities.

Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Quality Assurance
• Industries: Hospitals and Health Care