CRC/DRG Coding Auditor

AuditorAuditorFull TimeRemoteTeam 10,001+H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

51 days ago

Salary

$67.4K - $101.1K / year

Associate Degree3 yrs expEnglish

Job Description

• Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. • Validates abstracted data elements that are integral to appropriate payment methodology. • Consulting: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding. • Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. • Adheres to Standards of Ethical Coding (AHIMA). • Uses discretion and specialized coding training and experience to accurately assign ICD-9, CPT-4 codes to patient medical records. • Identifies and communicates documentation improvement opportunities and coding issues to appropriate personnel for follow-up and resolution. • Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding.

Job Requirements

  • Associates degree in relevant field preferred or combination of equivalent of education and experience
  • Three years coding experience including hospital and consulting background
  • Ability to consistently code at 95% accuracy and quality while maintaining client specified production standards
  • Must successfully pass coding test
  • Knowledge of medical terminology, ICD-9-CM and CPT-4 codes
  • Must be detail oriented and have the ability to work independently
  • Computer knowledge of MS Office
  • Must display excellent interpersonal skills
  • The coder should demonstrate initiative and discipline in time management and assignment completion
  • The coder must be able to work in a virtual setting under minimal supervision
  • Intermediate knowledge of disease pathophysiology and drug utilization
  • Intermediate knowledge of MSDRG classification and reimbursement structures
  • Intermediate knowledge of APC, OCE, NCCI classification and reimbursement structures.

Benefits

  • Medical, dental, vision, disability, life, and business travel insurance
  • Paid time off (vacation & sick leave) – min of 12 days per year, accrued at a rate of approximately 1.84 hours per 40 hours worked.
  • 401k with up to 6% employer match
  • 10 paid holidays per year
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
  • For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

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