Jobs · Accounting

Acuvance Coker - IP and OP Auditor

ROI Healthcare Solutions · United States · 5 days ago
RemoteRemoteAccountingFull-time
Remote Full Time Inpatient/Outpatient Auditor positions are currently available. Benefits offered for Full Time employees. Candidates MUST have a minimum of five years’ experience with an acute care hospital auditing inpatient and outpatient charts. Auditor will conduct coding assessments and billing audit validations to assist clients in preventing noncompliance issues.Job ResponsibilitiesPerform in-depth quality assurance audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes and MS-DRG and APR-DRG assignments and/or CPT-4 and APC assignments, based on clinical documentationAudit patient records, reviewing diagnosis and procedures for coding compliance with local, state, federal coding regulations and guidelinesIdentify occurrences of “over” or “under” coding of patient recordsIdentify potential documentation issuesPrepare detailed reports on audit findingsPresent via webinar software, audit findings, education, and trends to physicians, coders, and/or other facility professionalsRequirements5+ Years Inpatient and Outpatient Auditing experience with an Acute Care FacilityIdeally, at least two active coding credentials: CCS, CCS-P, CPC, CDIP, RHIT and/or RHIAIVR coding is a plusExtensive knowledge of medical terminology and ability to research coding related questionsExcellent oral and written communications skillsSuccessfully pass pre-hire coding assessmentsAA degree, or equivalent preferredKnowledge of Microsoft Office software: Excel and WordSummaryThis Job Is Ideal for Someone Who Is:Dependable -- more reliable than spontaneousAdaptable/flexible -- enjoys doing work that requires frequent shifts in directionDetail-oriented -- would rather focus on the details of work than the bigger pictureAutonomous/Independent -- enjoys working with little directionJob Types: Full-timeBenefits401(k)Dental insuranceHealth insuranceLife insurancePaid time offVision insuranceExperienceAcute care: 5 years (Required)Working as an IP and OP Auditor: 5 years (Required)License/CertificationCCS, CCS-P, COC, CDIP, RHIT or RHIA Certificate (Required)Work Location: Remote

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