Outpatient Coding Auditor

About You

You are a person passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism, and coaching others. Tell us about your experience with Outpatient Coding Auditing.

• Are you a team player?
• Are you a self-motivator?

About The Position

Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural Terminology (CPT-4 and Healthcare Common Procedure Coding System (HCPCS).

Practical knowledge of reimbursement systems, including Prospective Payment System (PPS), Diagnostic Related Groupings (DRGs), and Ambulatory Payment Classification (APC).

Creates clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating Coders, Auditors, Managers, and Directors throughout the organization.

Delivers educational feedback to coding staff regarding audit findings.

Identifies documentation issues (lacking documentation, missed physician queries, etc.) that impact coding accuracy. Clearly communicates (verbally and in written reports or summaries) opportunities for documentation improvement related to coding issues.

Provides guidance to other departmental staff in identifying and resolving coding issues and/or error trends for improvement.

Provides continuing education to individual coders and to the coding staff concerning changes in the coding and reimbursement system as well as any area of weakness identified during the performance of coding validation reviews.

Minimum Requirements

• Completion of a formal coding program with preference given to AHIMA and AAPC credentials (CCS, RHIT, CIC).
• 5+ years of progressive experience in professional medical coding/reimbursement.
• Coding work experience encompassing a working knowledge of the ICD-10-CM and ICD-10-PCS; medical terminology; anatomy and physiology; and health record content.
• Comprehensive understanding of coding guidelines, Coding Clinics and appropriate coding references along with the ability to employ these coding resources to audit findings.
• Ability to work in multiple client systems and proficiency with Microsoft office applications.
• Cerner, EPIC and 3M 360 Encompass experience preferred.
• Academic medical facility auditing experience preferred.

About Us

You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization.

About The Benefits

• Health Insurance
• Fully Paid Life Insurance
• Fully Paid Short- & Long-Term Disability
• Paid Vacation
• Paid Sick Leave
• Paid Holidays
• Professional Development and Tuition Assistance Program
• 401(k) Program with Employer Match