Senior Coding Quality Auditor - Facility
Job Summary
Join our knowledgeable and supportive team as a Facility Medical Coding Quality Auditor, where you will play a vital role in ensuring coding accuracy and compliance across a variety of accounts. Working within a small, collaborative team, you will conduct detailed audits, review medical records, and validate ICD-10-CM/PCS, CPT, HCPCS coding to ensure adherence to industry regulations. You will provide education, feedback, and support to coders, helping to improve accuracy and maintain compliance with official coding guidelines and practices.We are seeking a detail-oriented, Medical Coding Quality Auditor who specializes in facility coding practices.
Qualifications
ย Three-five yearsย experience in ICD-10-CM/PCS and CPT facility auditing and medical coding.
ย Certified Coding Specialist (CCS) in good standing or Registered Health Information Technician (RHIT) with coding/auditing experience. Additional coding credentials or certifications are preferred.
ย Demonstrated competency of CMS guidance as it relates to ICD-10-CM/PCS coding and HCC coding.
ย Experience with MS Excel and other MS office tools.
ย Ability to successfully pass a pre-hire coding assessment
ย Ability to think and work independently and within a team while using good judgement
ย Ability to understand and navigate different health information systems, coding software, and encoders.
ย See full job descriptions for additional required skills.
Responsibilities
ย Perform coder audits on a regular basis as defined by compliance requirements and client expectations, determine when additional education is necessary and assist the education team in meeting those needs.
ย Evaluate the appropriateness of the ICD-10-CM, ICD-10-PCS, and CPT codes assigned based on the supporting documentation and in accordance with coding guidelines. Audits may include additional abstract information such as discharge status, present on admission, queries, etc.
ย Assist in consultation and education of client coding staff on coding practices and conventions to provide detailed coding information.
ย Identify client coding needs and assist in developing solutions proactively by sharing best practices and knowledge
ย Perform coder audits on a regular basis as defined by compliance requirements and client expectations, determine when additional education is necessary and assist the education team in meeting those needs.
ย Evaluate the appropriateness of the ICD-10-CM, ICD-10-PCS, and CPT codes assigned based on the supporting documentation and in accordance with coding guidelines. Audits may include additional abstract information such as discharge status, present on admission, queries, etc.
ย Assist in consultation and education of client coding staff on coding practices and conventions to provide detailed coding information.
ย Identify client coding needs and assist in developing solutions proactively by sharing best practices and knowledge
ย See full job descriptions for additional responsibilities
This role is ideal for individuals who are passionate about maintaining quality standards in healthcare operations while contributing to the overall efficiency of our organization.
Job Types: Full-time, Part-time, Contract
Pay: From $40.00 per hour
Expected hours: No more than 40 per week
Benefits:
ย Dental insurance
ย Employee assistance program
ย Flexible schedule
ย Health insurance
ย Health savings account
ย Paid time off
ย Professional development assistance
ย Tuition reimbursement
ย Vision insurance
Work Location: Remote
Apply Now
Join our knowledgeable and supportive team as a Facility Medical Coding Quality Auditor, where you will play a vital role in ensuring coding accuracy and compliance across a variety of accounts. Working within a small, collaborative team, you will conduct detailed audits, review medical records, and validate ICD-10-CM/PCS, CPT, HCPCS coding to ensure adherence to industry regulations. You will provide education, feedback, and support to coders, helping to improve accuracy and maintain compliance with official coding guidelines and practices.We are seeking a detail-oriented, Medical Coding Quality Auditor who specializes in facility coding practices.
Qualifications
ย Three-five yearsย experience in ICD-10-CM/PCS and CPT facility auditing and medical coding.
ย Certified Coding Specialist (CCS) in good standing or Registered Health Information Technician (RHIT) with coding/auditing experience. Additional coding credentials or certifications are preferred.
ย Demonstrated competency of CMS guidance as it relates to ICD-10-CM/PCS coding and HCC coding.
ย Experience with MS Excel and other MS office tools.
ย Ability to successfully pass a pre-hire coding assessment
ย Ability to think and work independently and within a team while using good judgement
ย Ability to understand and navigate different health information systems, coding software, and encoders.
ย See full job descriptions for additional required skills.
Responsibilities
ย Perform coder audits on a regular basis as defined by compliance requirements and client expectations, determine when additional education is necessary and assist the education team in meeting those needs.
ย Evaluate the appropriateness of the ICD-10-CM, ICD-10-PCS, and CPT codes assigned based on the supporting documentation and in accordance with coding guidelines. Audits may include additional abstract information such as discharge status, present on admission, queries, etc.
ย Assist in consultation and education of client coding staff on coding practices and conventions to provide detailed coding information.
ย Identify client coding needs and assist in developing solutions proactively by sharing best practices and knowledge
ย Perform coder audits on a regular basis as defined by compliance requirements and client expectations, determine when additional education is necessary and assist the education team in meeting those needs.
ย Evaluate the appropriateness of the ICD-10-CM, ICD-10-PCS, and CPT codes assigned based on the supporting documentation and in accordance with coding guidelines. Audits may include additional abstract information such as discharge status, present on admission, queries, etc.
ย Assist in consultation and education of client coding staff on coding practices and conventions to provide detailed coding information.
ย Identify client coding needs and assist in developing solutions proactively by sharing best practices and knowledge
ย See full job descriptions for additional responsibilities
This role is ideal for individuals who are passionate about maintaining quality standards in healthcare operations while contributing to the overall efficiency of our organization.
Job Types: Full-time, Part-time, Contract
Pay: From $40.00 per hour
Expected hours: No more than 40 per week
Benefits:
ย Dental insurance
ย Employee assistance program
ย Flexible schedule
ย Health insurance
ย Health savings account
ย Paid time off
ย Professional development assistance
ย Tuition reimbursement
ย Vision insurance
Work Location: Remote
Apply Now