Inpatient Coding Quality Auditor - Remote
About the position 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. Responsibilities • Consults facility leaders and staff on best practices, methodology, and tools for accurately coding. • Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. • Adheres to Standards of Ethical Coding (AHIMA). • Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. • Reviews medical records to determine accurate required abstracting elements including appropriate discharge disposition. • Uses discretion and specialized coding training and experience to accurately assign ICD-9, CPT-4 codes to patient medical records. • Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses and procedures. • 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. • Attends mandatory coding seminars on annual basis for inpatient and outpatient coding. Requirements • Associates degree in relevant field preferred or combination of equivalent education and experience. • Three years coding experience including hospital and consulting background. • AHIMA Credentials, and/or AAPC. • Ability to consistently code at 95% accuracy and quality while maintaining client specified production standards. • Knowledge of medical terminology, ICD-9-CM and CPT-4 codes. • Detail oriented and ability to work independently. • Computer knowledge of MS Office. • Excellent interpersonal skills. • 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, and life insurance. • Paid time off (vacation & sick leave) - min of 12 days per year. • 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. • Paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Apply tot his job