Jun 11, 2024

Hospital Outpatient Coding Auditor

  • Idaho State Job Bank
  • Boise, ID, United States

Job Description

Hospital Outpatient Coding Auditor at R1 RCM in Boise, Idaho, United States Job Description R1 is currently seeking a Hospital Outpatient Coding Auditor to join our elite team of Auditors with a background in hospital coding, billing, and reimbursement.? The Auditor must have a comprehensive understanding of medical terminology, coding, contractual agreements, and various payment methodologies.? This position requires good time management skills and the ability to work independently. Everyday in this role you will: + Review hospital charges against medical record and all applicable documentation to determine appropriate code assignments on services provided (CPT/HCPCS codes) + Understand billing and coding requirements for government and commercial payers. + Abstract statistical data from the patient record and enter information following facility guidelines. + Utilize coding resources or applicable reference materials to ensure accuracy in coding for assigned services + Assist other departments in coding and reimbursement issues. + Follow all HIPAA regulations and uphold a higher standard around privacy requirements. + Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes. + Maintain at least a 95% accuracy rate. + Maintain productivity standards, tracking logs and deadlines. To be successful in this role you must have: + CPC, CPC-H (COC), CPMA, CIC, RHIA, RHIT and/or CCS-P certification + 2-4 years of experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle activities. + Experience coding multi-specialties preferred that may include trauma, orthopedics, cardiology, interventional radiology, and neurology. + Large and/or teaching facility experience preferred. + Must possess a demonstrated knowledge of clinical processes; clinical coding (CPT, HCPCS, ICD-10, revenue codes, status indicators, and modifiers), charging processes and audits. + Knowledge of CMS guidelines, Ambulatory Payment Classification, and Outpatient Prospective Payment System, reimbursement structures and prebill edits including Outpatient Coding Edits/Correct Coding Initiative edits preferred. + Knowledge of policies, standards and methodologies pertaining to charge capture and reconciliation, reporting, documentation, and general compliance preferred. + Experience with encoder technology and electronic medical record systems. For this US-based position, the base pay range is $40,305.57 - $63,822.00 per year . Individual pa To view full details and how to apply, please login or create a Job Seeker account