Outpatient Coding Auditor

This is a fully remote position, open to applicants in Alabama, +13 more states.

📋 Description

• Develop and uphold a compliance strategy for outpatient coding and reimbursement.

• Support the Coding Manager in managing Outpatient and Emergency Coding Services.

• Create policies and procedures.

• Design educational programs and supervise initiatives related to HIM Compliance, proper documentation, and precise coding.

• Provide training to HIM coding personnel, physicians, billing staff, and related departments.

• Coordinate ongoing reviews, monitoring, and analysis following outpatient coding audits.

• Instruct new outpatient coders on documentation standards and outpatient surgical coding.

• Train coders on ICD-10-CM, CPT/HCPCS, coding standards, Coding Clinics, CPT Assistant, and pertinent policies and procedures.

• Perform quality assessments to guarantee correct coding, APC assignments, and reimbursement accuracy.

• Compile quality monitoring findings for performance evaluations and process enhancement.

• Investigate and address inquiries related to outpatient coding.

• Manage the daily unbilled report to ensure timely coding completion.

• Review audit outcomes with team members and conduct follow-up evaluations.

• Collaborate with the PFS department to resolve requests for outpatient coding reviews.

⛳️ Requirements

• Certified Coding Specialist (CCS) certification is mandatory.

• At least 4 years of experience coding ICD-10 in an acute care environment.

• 2 years of experience conducting APC coding audits.

• Understanding of APC and grouping methodologies, especially regarding diagnoses/procedures impacting APC assignments.

• Proficient in basic computer skills, including word processing and spreadsheet applications.

• Strong interpersonal abilities.

• Exceptional organizational and prioritization skills.

• Candidates must be physically present and authorized to work in Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hampshire, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, or Wisconsin.

• Must meet physical requirements, including the ability to lift up to 50 lbs and carry items weighing up to 25 lbs.

• Capability to work in environments with potential exposure to blood-borne pathogens, biohazardous waste, chemicals/gases/fumes/vapors, communicable diseases, electrical hazards, radiation, and other specified environmental factors.

• Travel may be necessary.

🏝️ Benefits

• Comprehensive health benefits that commence on day one.

• Assistance and reimbursement programs for student loan repayment.

• Family-oriented benefits.

• Wellness incentives.

• Continuous mentorship, development, and leadership programs.

• Supportive work environment.

• Reasonable accommodations for qualified individuals with disabilities.