Quadris Team, LLC - A Revenue Cycle Management Group, is searching for a dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Medical Coding Auditor & Educator.We are a 100% remote team supporting our clients across the United States! See us at.The ideal applicant will be a subject matter expert in both Facility and Profee medical coding auditing.Job Focus :The Senior Coding Auditor may be responsible for a variety of duties and obligations, depending on the client and assignment.These responsibilities may include inpatient / outpatient / professional fee facility auditing, denial management, coding, implementation specialist, job aid creation, training, and specialty coding.The position may also be responsible for management of the audit team and project management.All coding and auditing are performed within the scope of regulatory and compliance law expectations.Auditing Responsibilities :May include conducting inpatient, outpatient and pro fee coding audits and provides educational programs both internally and externally based on audit results.Effectively uses abstracting databases, internal and external audit results, QIO reports and revenue cycle edit / denial information to identify audit populations.Effectively interacts with both coding staff and different levels of management within Quadris and with our client leadership teams.This individual must demonstrate a commitment to the organization's strategic plans, short and long-term goals and mission, vision, and values by representing the company in a caring and professional manner.Primary / Essential Expectations For Success :Knowledge of inpatient facility coding including MS-DRG, APR-DRG, HAC, Core Measure, risk qualifiers and quality documentationKnowledge of outpatient facility coding including CPT, ICD10, HCPCS, modifier application, APC, NCCI editsKnowledge of professional fee coding including E&M assignment, CPT, ICD10, modifier applicationExtensive understanding of various reimbursement methodologiesConducts ongoing record audits to verify coding and grouping accuracyIdentifies documentation improvement opportunities, CDI certification a plusPerforms educational sessions for coding specialists, client leadership teams and physicians when requestedReports on coding and grouping accuracy based on audit resultsServes as an expert resource for all coding staffUtilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation for abstracting and reviewFollows Official Coding Guidelines and rules to assign and evaluate appropriate codesProvides documentation feedback to client and or account managerMaintains coding reference informationReviews and communicates new or revised billing and coding guidelines and information with providers and their assigned specialtyResolves pre-accounts receivable edits.Identifies and reports repetitive documentation problems as well as system issuesMakes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriateMay collaborate with Patient Accounting, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters to coordinate appealsMay work with Revenue Cycle staff and Account Inquiry Unit staff as requested, assists in obtaining documentation (notes, operative reports, etc.).Provides additional code and modifier informationMeets established minimum coding productivity and quality standards for each encounter type based on type of service codedDemonstrates a high sense of urgency in completing tasks and meeting deadlines, with the ability to prioritize effectively in a fast-paced environmentCapable of pivoting quickly between tasks, projects, or priorities based on evolving business needs without losing focus or productivityMay perform other duties as assignedSkills Needed to Be Successful :Ability to accurately sequence diagnosis and proceduresAbility to identify areas of opportunity for documentation improvement, code assignment, data integrity and educationAbility to provide guidance to other departmental staff in identifying and resolving coding issues or errorsAbility to analyze and resolve claim denials that are rejected by edits from the Patient Accounts departmentAbility to maintain the national standards for coding accuracy and internal standards for productivityMaintains compliance with regulations and laws applicable to jobProfessional level of communication with video, phone, and emailAbility to effectively prioritize the work to meet deadlines and expectationsMeets the quality and productivity measures as outlined by QuadrisBrings positive energy to workUses critical thinking skillsBeing present and focused on assigned tasks and eliminates distractionsBeing a self-starterAbility to work independently and within a team atmosphereCore Talent Essentials :High School diploma or equivalentRequired AHIMA certification, and / or AAPC certification - CDI certification a plus5years of experience in healthcare medical coding; Inpatient experience required1years of experience in inpatient auditingAbility to work independently and within a team atmosphereAdvanced and proficient knowledge of all coding conceptsSelf-motivated and passionate about our mission and values of quality workMust have professional level skills in MS products such as Excel, Word, Power Point.Must be able to type proficiently and with an effective paceProficient application of business / office standard processes and technical applicationsPhysical / Mental Demands, Environment :Prolonged periods of sitting at a desk and working on a computerMust be able to lift 15 pounds at one timeMust be able to structure your home office to ensure patient information is secure meeting the regulatory expectationsQuadris is an Equal Employment Opportunity employer.Any offer of employment is contingent upon a criminal background check , previous employment verification and references, following all federal and state regulations.Quadris Team is a participant of eVerify..