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9 часов назад

Senior Coding Compliance Auditor - Outpatient

76 300 - 131 550$
Формат работы
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 - Outpatient (Healthcare Compliance): Conducting detailed outpatient and inpatient coding compliance audits and monitoring activities with an accent on audit quality, regulatory standards, and risk mitigation. Focus on analyzing discrepancies and trends, developing Management Action Plans, maintaining audit dashboards and records, and coaching coding auditors.

Location: Remote - Nationwide; must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. Travel is expected not to exceed 10%.

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

Company

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

What you will do

  • Conduct detailed outpatient and inpatient coding compliance audits and monitoring activities.
  • Analyze audit findings, identify discrepancies and trends, and develop recommendations and Management Action Plans with service line leaders.
  • Lead the Audit the Auditor quality program and improve audit management tools and processes.
  • Prepare audit reports, dashboards, issue logs, compliance records, and updates for Compliance leadership.
  • Create training materials and provide education, onboarding, coaching, and ongoing support to coding auditors.
  • Support risk assessments, annual compliance work plans, internal 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.
  • At least one current professional certification: CPC, CCS, RHIA, or RHIT; CCS is preferred. CHC may be obtained at a designated time after acceptance.
  • Bachelor’s degree or equivalent experience; health records management or medical coding education is preferred.
  • Basic Word and Excel knowledge, plus experience with Epic, Cerner, and/or Meditech.

Nice to have

  • Openness to innovation, including AI, for improving 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.
  • Work-life flexibility and a culture focused on collaboration, growth, innovation, and continuous improvement.
  • Career advancement opportunities.

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