Acuvance Coker - OP Auditor

About the role

Remote Full Time Outpatient Auditor positions are currently available. Auditor will conduct coding assessments and billing audit validations to assist clients in preventing noncompliance issues.

Responsibilities

• Perform 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 documentation
• Audit patient records, reviewing diagnosis and procedures for coding compliance with local, state, federal coding regulations and guidelines
• Identify occurrences of "over" or "under" coding of patient records
• Identify potential documentation issues
• Prepare detailed reports on audit findings
• Present via webinar software, audit findings, education, and trends to physicians, coders, and/or other facility professionals

Requirements

• 5+ Years Outpatient Auditing experience with an Acute Care Facility
• Ideally, at least two active coding credentials: CCS, CCS-P, CPC, CDIP, RHIT and/or RHIA
• IVR coding is required
• Extensive knowledge of medical terminology and ability to research coding related questions
• Excellent oral and written communications skills
• Successfully pass pre-hire coding assessments
• AA degree, or equivalent preferred
• Knowledge of Microsoft Office software: Excel and Word

Qualifications

• Acute care: 5 years (Required)
• Working as an Op Auditor: 5 years (Required)
• CCS, CCS-P, COC, CDIP, RHIT or RHIA Certificate (Required)

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule

Full-time

Ideal candidate

• Dependable -- more reliable than spontaneous
• Adaptable/flexible -- enjoys doing work that requires frequent shifts in direction
• Detail-oriented -- would rather focus on the details of work than the bigger picture
• Autonomous/Independent -- enjoys working with little direction