Senior Associate, Coding Auditor

This is a fully remote position, open to applicants in Texas.

📋 Description

• Conduct audits of medical record documentation to assess the accuracy of principal and secondary diagnoses, including MCC and CC, as well as procedure codes.

• Follow official coding guidelines, coding clinics, regulatory standards, and mandates.

• Utilize advanced ICD-10 coding knowledge to support conclusions.

• Employ HMS proprietary auditing systems to record audit findings and their justification.

• Consistently meet productivity and quality performance benchmarks set by management.

• Be cross-trained to conduct reviews of various claim types to fulfill client requirements.

• Support management in training new Coding Auditors through daily oversight, mentoring, feedback, and education.

• Stay updated with current coding guidelines and fulfill required CEUs.

• Participate in training sessions and scheduled meetings to improve knowledge of clinical policies, procedures, rules, and regulations.

⛳️ Requirements

• A minimum of 1 year of active professional credentials from AHIMA or AAPC: CPC, CCS, COC, RHIA, RHIT; required.

• At least 3 years of experience in coding inpatient or outpatient claims; required.

• Proven expertise in medical record auditing and ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodologies.

• Comprehensive understanding of APR-DRG, AP-DRG, and MS-DRG systems.

• Demonstrated experience in both medical record coding and auditing.

• Must sustain coding certification through the necessary continuing education units (CEUs).

🏝️ Benefits

• Benefits begin on the first day of employment.

• Clear opportunities for advancement with training and leadership development.

• Remote (work from home) position available within the United States.