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2 дня назад

Senior Coding Compliance Auditor (Inpatient)

76 300 - 131 550$
Формат работы
remote (только USA)/hybrid
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Senior Coding Compliance Auditor (Inpatient) (Healthcare Compliance): Conducting detailed inpatient and acute-care coding audits, analyzing compliance trends, and developing management action plans with an accent on regulatory coding standards, audit quality, and risk mitigation. Focus on leading complex audits, building Audit the Auditor programs, training coding auditors, and evaluating internal controls across healthcare revenue cycle operations.

Location: Remote nationwide within the United States; candidates must reside in and be authorized to work in the United States. Travel to client, temporary, or corporate office locations may be required, up to 10%.

Salary: $76,300–$131,550 based on experience.

Company

hirify.global provides technology-enabled revenue cycle management and related point solutions for hospitals, health systems, and affiliated physician groups.

What you will do

  • Conduct detailed inpatient and acute-care coding compliance audits and monitoring activities.
  • Analyze audit findings, identify discrepancies and compliance trends, and develop actionable risk-mitigation recommendations.
  • Partner with service-line leaders to develop and validate Management Action Plans, provide updates to Compliance leadership, and escalate urgent concerns.
  • Create and maintain the Audit the Auditor quality program, audit records, dashboards, issue logs, and analytical reports.
  • Develop audit-process and audit-management-tool training materials; train, coach, mentor, and support coding auditors.
  • Assist with risk assessments, annual compliance workplans, auditor assignments, control evaluations, and compliance-program effectiveness reviews.

Requirements

  • 5–7+ years of experience in healthcare, acute coding, compliance, auditing, or a related field.
  • Knowledge of ICD-10, DRG, CPT, and HCPCS coding, including acute outpatient and inpatient experience.
  • Knowledge of revenue cycle operations, compliance standards, and auditing standards.
  • Current professional certification required: CPC, CCS, RHIA, or RHIT; CCS is preferred. CHC may be obtained within the designated period after acceptance.
  • Bachelor’s degree or equivalent experience; health records management or medical coding education is preferred.
  • Must reside in and be authorized to work in the United States; willingness and ability to travel and work onsite when business needs require is necessary.

Nice to have

  • Experience with Epic, Cerner, and/or Meditech.
  • Basic Word and Excel knowledge.
  • Openness to using AI and emerging technology to improve processes and patient and client experiences.

Culture & Benefits

  • Comprehensive healthcare, time-off, retirement, and well-being benefits.
  • Paid professional certifications and tuition reimbursement.
  • Bonus and quarterly or annual incentive programs.
  • Remote work with work-life flexibility, collaboration, innovation, and career advancement opportunities.

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