Coding Quality Auditor : Required RHIT or RHIA or CCS Certification - Remote
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- This position candidates are REQUIRED to live in the following States **
IL Wisc. Iowa Missouri Florida Ohio Michigan Indiana Job Summary We are seeking a detail-oriented and energetic Coding Quality Auditor to join our healthcare compliance team. In this vital role, you will ensure the accuracy, completeness, and compliance of medical coding and billing processes. Your expertise will help maintain the integrity of medical records, optimize reimbursement processes, and uphold industry standards. This position offers an exciting opportunity to contribute to the quality assurance of medical documentation and coding practices across diverse healthcare settings. Duties
- Review and audit medical records to verify correct application of coding standards such as DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding systems.
- Ensure proper documentation aligns with medical billing requirements and supports accurate reimbursement.
- Identify discrepancies or errors in medical coding, billing, and documentation, providing clear feedback for correction.
- Collaborate with medical billers, coders, and healthcare providers to resolve coding issues and improve accuracy.
- Maintain detailed audit logs, reports, and documentation of findings for compliance tracking and process improvement.
- Stay updated on industry regulations, coding guidelines, and best practices to ensure ongoing compliance.
- Assist in training staff on proper coding procedures and documentation standards to enhance overall quality.
Skills
- Strong knowledge of DRG, CPT coding, ICD-9, ICD-10, and ICD coding systems.
- Proven experience in medical billing, medical records management, and medical office operations.
- Familiarity with EMR (Electronic Medical Records) systems and EHR (Electronic Health Record) platforms.
- Excellent understanding of medical terminology and healthcare documentation standards.
- Ability to analyze complex medical records critically and identify coding discrepancies efficiently.
- Experience working with medical collections processes is a plus.
- Exceptional attention to detail with strong organizational skills to manage multiple audits accurately. Join us as a Coding Quality Auditor to play a crucial role in enhancing healthcare accuracy and compliance! Your expertise will help ensure that our organization maintains the highest standards in medical coding practices while supporting efficient revenue cycle management.
Required:
- RHIT or RHIA or CCS Certification
- Certified Clinical Documentation Specialist
(will consider CDIP certification)
- Bachelor’s degree – Healthcare related
(will consider candidates currently enrolled in Bachelor program) Pay: $40.00 - $59.00 per hour Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Vision insurance
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