Outpatient Coding Auditor- Remote (Any city, TX, US, 99999)

About the role

We are seeking a talented individual for an Outpatient Coding Auditor, Senior Associate. This role involves performing coding reviews of medical records and/or other documentation to determine correct coding as defined by review methodologies specific to the contract for which review services are being provided.

Responsibilities

• Performs audits of medical record documentation to determine the accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes.
• Adheres to official coding guidelines, coding clinics and regulatory guidelines and mandates.
• Drafts on advanced ICD-10 coding expertise to substantiate conclusions.
• Utilizes proprietary auditing systems with a high level of proficiency to document audit determinations and rationale.
• Consistently achieves productivity and quality performance standards established by management.
• Actively cross-trains to perform reviews of multiple claim types to provide a flexible workforce to meet client needs.
• Assists management with training new Coding Auditors to include daily monitoring, mentoring, feedback and education.
• Maintains current knowledge of coding guidelines and successfully completes required CEUs to maintain coding certification.
• Attends training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations.

Requirements

• One or more active professional credentials through AHIMA or AAPC: CPC, COC, CCS, RHIA, RHIT; required
• 2+ years experience of outpatient medical record coding and/or auditing; required
• Demonstrated proficiency in medical record auditing and ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodology.
• Demonstrated proficiency in computer skills and typing, i.e., Microsoft Windows, Outlook, Excel, Word, PowerPoint, Internet browsers and in virtual meeting tools i.e., Microsoft Teams, Zoom, etc.

Qualifications

Your role in our mission includes performing audits of medical record documentation to determine the accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes. Adhering to official coding guidelines, coding clinics and regulatory guidelines and mandates. Drafts on advanced ICD-10 coding expertise to substantiate conclusions. Utilizing proprietary auditing systems with a high level of proficiency to document audit determinations and rationale. Consistently achieving productivity and quality performance standards established by management. Actively cross-training to perform reviews of multiple claim types to provide a flexible workforce to meet client needs. Assisting management with training new Coding Auditors to include daily monitoring, mentoring, feedback and education. Maintaining current knowledge of coding guidelines and successfully completing required CEUs to maintain coding certification. Attending training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations.

Skills

One or more active professional credentials through AHIMA or AAPC: CPC, COC, CCS, RHIA, RHIT; required

2+ years experience of outpatient medical record coding and/or auditing; required

Demonstrated proficiency in medical record auditing and ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodology.

Demonstrated proficiency in computer skills and typing, i.e., Microsoft Windows, Outlook, Excel, Word, PowerPoint, Internet browsers and in virtual meeting tools i.e., Microsoft Teams, Zoom, etc.

Benefits

On first day of employment

Clear path to advancement with training and leadership

Pay

$70,000.00 - $80,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Schedule

Remote (work from home) environment within the United States