Job Title: Inpatient Coding Auditor
Location: Irving, TX / RemoteMandatory Skills: - 2+ years previous experience as an inpatient coding auditor.
- 3+ years previous experience in coding inpatient hospital accounts.
- Certified Coding Specialist (CCS) or Registered Health Information Technician/Administrator (RHIT/RHIA) credentials.
Position Summary: - Under minimal supervision and according to established policies and procedures, conducts retrospective inpatient coding quality review audits in compliance with the coding compliance plan and established standards.
- Supports the review activities that drive hospital revenue including revenue cycle initiatives, internal audit plan, reimbursement audits and data quality.
- Key support for the coding areas and staff.
Duties and Responsibilities: - Performs coding quality audits and reports results for accurate ICD-10-CM and ICD-10-PCS coding of the principal diagnosis, secondary diagnosis, principal and secondary procedures, present on admission (POA) indicators, and DRG assignment.
- Identifies missed query opportunities for complete and accurate revenue within the federal, state and payer specific regulations and coding policies.
- Conducts quality review of medical record abstracting and appropriate discharge disposition selection to ensure revenue integrity and data quality
- Provides analysis and trending of coding quality and opportunities; Interprets coding data to identify quality concerns, trends and root causes related to denials.
- Ensures compliance with coding standards and government regulations.
- Maintains knowledge of coding and billing requirements and regulatory changes.
Skills and Abilities Required: - Analytical ability to gather and interpret data, to evaluate reports and track progress of initiatives and to determine methods for ensuring revenue integrity and coding compliance
- High degree of interpersonal skills to effectively communicate with internal and external customers, including physicians, clinicians, management and coding staff
- In-depth technical knowledge of ICD-10-CM/ICD-10-PCS guidelines/coding clinics, CPT coding conventions, DRG and APC assignment, medical terminology, anatomy, and disease processes.
- Proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook).
- Excellent time management skills; organized; ability to prioritize completing multiple tasks on schedule in a deadline driven environment.
- Ability to interact with internal and external customers in a professional manner.
- Ability to ramp up on a client's environment, processes, historical context, and systems to provide support to an engagement as soon as possible.
Education, Experience & Licensure: - 2+ years previous experience as an inpatient coding auditor
- 3+ years previous experience in coding inpatient hospital account
Regards, Ajay Tanwar E-Solutions Inc. | 2 North Market Street | Suite #400 | San Jose, CA - 95113
US Direct: 669-250-0966 |
Fax: 408-521-0167
Email: ajay.t@e-solutionsinc.com |
Web: www.e-solutionsinc.com
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