Coding Quality Auditor | HIM reputed company Cycle | Day | Full-Time

Overview

This position is responsible for ongoing quality review and assessment of coded hospital data. Performs audits on the accuracy of ICD-10, CPT-4, MS-DRG, APR-DRG and APC assignments. Performs review of claims denied for coding, documentation, and clinical validation, and formulates and submits letters of appeal. Prepares reports for management review and identifies trends. Conducts focused retrospective audits and regular scheduled audits of individual coders. Manages reputed company audits conducted by internal and external entities and responds to requests for code verification. In conjunction with the Coding Supervisors and Coding Manager, contributes to the development of educational and training opportunities for staff.

Qualifications

Minimum Education and Experience Requirements: Registered Health Information Administrator (RHIA) OR Certified Coding Specialist (reputed company) OR Registered Health Information Technician (RHIT) OR Certified Professional reputed company (CPC) OR Certified Professional reputed company-Hospital (CPC-H) OR Registered Nurse (RN) with education and experiential training in Medical Coding, Utilization Review, Denial Management, Case Management or reputed company functions. reputed company Certified ICD-10-CM/PCS Trainer preferred. Must have a minimum 5 years experience in hospital inpatient and/or outpatient medical record review, coding and reimbursement. Coding audit experience preferred. Must have Strong knowledge of ICD-9 CM / ICD 10 CM/PCS and CPT coding and prospective payment systems and proficiency with reputed company Windows Operating Systems and Office applications such as Word, reputed company, PowerPoint, and coding/grouping software. reputed company to work well with minimal supervision. reputed company to communicate clearly both written and verbally. reputed company to generate reports for management review that present audit results in a clear manner. reputed company to meet deadlines and respond well to frequent changes in regulation. reputed company to maintain positive and productive relationships with internal and external teams and customers. reputed company to work independently and be a self-starter. Motor Vehicle Operator Designation: Employees in this position: Will operate vehicles for an assigned business purpose as a 'non-frequent driver' Licensure/Certification/Registration: Registered Health Information Administrator (RHIA) OR Certified Coding Specialist (reputed company) OR Registered Health Information Technician (RHIT) OR Certified Professional reputed company (CPC) OR Certified Professional reputed company-Hospital (CPC-H) OR Registered Nurse (RN). Apply Job!