11 дней назад
Coding Auditor (Remote)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Coding Auditor (Remote) (Medical Coding and Compliance): Performing inpatient and outpatient coding audits across multiple specialties, preparing audit reports, and presenting findings with an accent on documentation accuracy, coding compliance, and payer-specific guidelines. Focus on analyzing physician documentation, trending audit results, educating providers, and protecting patient health information under HIPAA.
Location: Remote within the United States; associated with Parsippany-Troy Hills, New Jersey
Company
provides medical coding, auditing, compliance, and healthcare documentation services.
What you will do
- Perform inpatient, outpatient, provider, compliance, and specialty-specific coding audits.
- Prepare, analyze, trend, and present audit findings to internal and external stakeholders.
- Apply E&M, surgery, CCI, CPT, HCPCS, payer, specialty association, and coverage determination guidelines.
- Evaluate physician documentation supporting selected codes, including medical necessity and split/shared services.
- Provide physician education based on audit findings, edits, and denial trends.
- Protect patient information and comply with HIPAA and information security policies.
Requirements
- High school diploma or equivalent.
- CPC or CCS certification from AHIMA or AAPC required.
- At least five years of coding experience and two years of auditing experience in a multi-specialty setting.
- Proficiency with job-related software and Microsoft Office Suite.
- Strong written and verbal communication, interpersonal, analytical, problem-solving, and decision-making skills.
- Ability to work independently, collaborate with others, handle stress, and use a smartphone or electronic device for multifactor authentication.
Culture & Benefits
- Remote work arrangement with virtual collaboration.
- Work involves primarily computer-based activities in a low-noise environment.
- Professional conduct, integrity, dependability, and timely results are expected.
- Access to protected health information is limited to the minimum necessary for assigned duties.
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