Senior Coding Compliance Auditor - Inpatient (Healthcare Compliance)
ΠΡΡΡ & Π‘ΠΎΠΏΡΠΎΠ²ΠΎΠ΄
ΠΠ»Ρ ΠΌΡΡΡΠ° Ρ ΡΡΠΎΠΉ Π²Π°ΠΊΠ°Π½ΡΠΈΠ΅ΠΉ Π½ΡΠΆΠ΅Π½ Plus
ΠΠΏΠΈΡΠ°Π½ΠΈΠ΅ Π²Π°ΠΊΠ°Π½ΡΠΈΠΈ
Location: Remote - Nationwide, United States; occasional travel and onsite work at client, temporary, or corporate offices may be required, not exceeding 10%.
Salary: $76,300β$131,550 based on experience.
Company
provides technology-enabled revenue cycle management and end-to-end revenue cycle solutions for health systems, hospitals, and affiliated physician groups.
What you will do
- Conduct detailed acute-care inpatient and outpatient 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 and report outcomes to Compliance leadership.
- Create and maintain the Audit the Auditor quality program, audit records, issue logs, dashboards, and analytical reports.
- Develop training materials and support onboarding, coaching, and ongoing education for coding auditors.
- Assist with annual risk assessments, compliance work plans, internal-control evaluations, and continuous process improvement.
Requirements
- 5β7+ years of experience in healthcare, acute coding, compliance, auditing, or a related field.
- Knowledge of ICD-10, DRG, CPT, and HCPCS coding, including acute inpatient and outpatient experience.
- Knowledge of revenue cycle operations, compliance standards, and auditing standards.
- Current professional certification required: CPC, CCS, RHIA, or RHIT; CCS is preferred.
- Bachelorβs degree or equivalent experience; health records management or medical coding education preferred.
- Basic Word and Excel skills; knowledge of Epic, Cerner, and/or Meditech is valued.
Nice to have
- CHC certification, which may be obtained at a designated time after acceptance.
- Openness to innovation, including using AI 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 and annual incentive programs.
- Remote work with work-life flexibility and a culture focused on collaboration, growth, innovation, and continuous improvement.
- Career advancement opportunities and recognition programs.
ΠΡΠ΄ΡΡΠ΅ ΠΎΡΡΠΎΡΠΎΠΆΠ½Ρ: Π΅ΡΠ»ΠΈ ΡΠ°Π±ΠΎΡΠΎΠ΄Π°ΡΠ΅Π»Ρ ΠΏΡΠΎΡΠΈΡ Π²ΠΎΠΉΡΠΈ Π² ΠΈΡ ΡΠΈΡΡΠ΅ΠΌΡ, ΠΈΡΠΏΠΎΠ»ΡΠ·ΡΡ iCloud/Google, ΠΏΡΠΈΡΠ»Π°ΡΡ ΠΊΠΎΠ΄/ΠΏΠ°ΡΠΎΠ»Ρ, Π·Π°ΠΏΡΡΡΠΈΡΡ ΠΊΠΎΠ΄/ΠΠ, Π½Π΅ Π΄Π΅Π»Π°ΠΉΡΠ΅ ΡΡΠΎΠ³ΠΎ - ΡΡΠΎ ΠΌΠΎΡΠ΅Π½Π½ΠΈΠΊΠΈ. ΠΠ±ΡΠ·Π°ΡΠ΅Π»ΡΠ½ΠΎ ΠΆΠΌΠΈΡΠ΅ "ΠΠΎΠΆΠ°Π»ΠΎΠ²Π°ΡΡΡΡ" ΠΈΠ»ΠΈ ΠΏΠΈΡΠΈΡΠ΅ Π² ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΊΡ. ΠΠΎΠ΄ΡΠΎΠ±Π½Π΅Π΅ Π² Π³Π°ΠΉΠ΄Π΅ β