Located in the heart of Anderson, South Carolina, AnMed is a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. At AnMed, our mission is simple yet powerful:
To provide exceptional and compassionate care to all we serve.
AnMed has been named one of the Best Employers in South Carolina by Forbes, reflecting our commitment to a supportive, inclusive, and purpose-driven workplace. Whether you're just starting your career or looking to grow in a new direction, you'll find opportunities to thrive, lead, and make a meaningful impact here.
Performs coding compliance audits of outpatient accounts according to coding rules and guidelines.
Duties & Responsibilities
- Reviews outpatient medical records and validates the appropriate ICD-10 codes and CPT codes.
- Maintains documentation of audits performed.
- Review accounts returned for medical necessity regarding diagnosis issues.
- Conducts a quarterly compliance audit of outpatient accounts.
- Performs concurrent reviews on new employees.
- Assists in reviewing RAC denials and all coding changes submitted by payers.
- Assists in reviewing Emergency Room denials for Evaluation and Management (E/M).
- Conduct education sessions as needed.
- Performs other duties as assigned.
Qualifications - High school diploma or GED required • RHIA, RHIT and/or CCS.
- CPC with minimum of 3 years' experience.
- Strong Background in Anatomy, Physiology and Medical Terminology.
- RHIA or RHIT and/or CCS.
- Minimum of five years of experience in outpatient coding in an acute care hospital setting.
Benefits* - Medical Insurance & Wellness Offerings.
- Compensation, Retirement & Financial Planning.
- Free Financial Counseling.
- Work-Life Balance & Paid Time Off (PTO).
- Professional Development.
- For more information, please visit: anmed.org/careers/benefits
*Varied benefits packages are available for positions with a 0.6 FTE or higher.