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Facility Inpatient Surgical Auditor

Work from home Full-time role Hiring

Job Description:

  • Works under the general direction of the Coding Supervisor.
  • Responsible for reviewing encounters in either a prebill or retrospective workflow to validate a coding profile.
  • Performs quality coding reviews or audits within established departmental productivity and accuracy standards.
  • Provides written summary reports of findings.
  • Coordinates and leads 1:1 or small group feedback sessions based on recommendations.
  • Maintains appropriate open communication with internal and external partners and peer departments.
  • Assist peer departments with production coding of cases during shortage of staff.
  • Assist in improved data quality for reporting and research, accurate billing and reimbursement of services rendered.
  • Provide 1:1 and small group education sessions, facilitate round table discussions.

Requirements:

  • High school diploma or GED required. Degree in Health Information Management preferred.
  • A minimum of 3 years of Coding Audit experience with auditing skills covering coding/billing accuracy of coding staff required.
  • CCS, CPC, RHIA or RHIT required upon hire.
  • Facility inpatient surgical claims experience highly preferred.

Benefits:

  • Health care
  • Paid time off
  • 403(B)

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