Coding Auditor Professional - Remote

<p class="MsoNormal"><b style="mso-bidi-font-weight: normal;">Position Summary:</b><span style="mso-bidi-font-family: Calibri; color: black;"><span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>Responsible for working with physicians, coders, ancillary department staff, Clinical Documentation Improvement (CDI), and other allied health professionals to improve documentation of patient care and appropriately assign codes and/or determine charges to support those services.&nbsp;<o:p></o:p></span></p>
<p class="MsoNormal"><b>Essential Functions and Responsibilities As Assigned</b><b style="mso-bidi-font-weight: normal;">:<o:p></o:p></b></p>
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<li class="MsoNormal" style="color: black; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo1;"><span style="mso-bidi-font-family: Calibri;">Responsible for completing quality assurance audits on professional coding specialists, onboarding audits and training of newly hired coding specialists, validating the coding specialist is accurately abstracting data into medical record systems, following coding guidelines, and relevant federal and other pertinent materials. <o:p></o:p></span></li>
<li class="MsoNormal" style="color: black; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo1;"><span style="mso-bidi-font-family: Calibri;">Optimizes prospective payment reimbursement and facilitates data quality by creating consistency and efficiency in physician documentation, code assignment, data collection, and claims processing. </span><span style="mso-fareast-font-family: Calibri; mso-bidi-font-family: Calibri;"><o:p></o:p></span></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1;">Performs retrospective, random, and focused audits of coding cases to ensure correct coding, legal compliance, and complete charge capture.<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1;">Evaluates the proper assignment of procedure, modifier, and diagnosis codes to professional services to validate accuracy and compliance.<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1;">Reports quality results, tracking and trending of educational opportunities of the coding specialist and provides educational support and training. <o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1;">Gathers, transfers, and analyzes all auditing results to capture and demonstrate risk issues, revenue leakage and educational opportunities.<o:p></o:p></li>
</ol><br><br><p class="MsoNormal"><i style="mso-bidi-font-style: normal;">Required:<o:p></o:p></i></p>
<p class="MsoNormal" style="margin-left: 40.5pt; text-indent: -.25in; mso-list: l1 level1 lfo1; tab-stops: list 40.5pt;"><!-- [if !supportLists]--><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; color: black;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="mso-bidi-font-family: Calibri; color: black;">Associate degree in HIT, Applied Science, Liberal Arts or related healthcare field<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left: 40.5pt; text-indent: -.25in; mso-list: l1 level1 lfo1; tab-stops: list 40.5pt;"><!-- [if !supportLists]--><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; color: black;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="mso-bidi-font-family: Calibri;">1 year evaluation and management (E&amp;M) coding experience in any medical specialty<span style="color: black;"><o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin-left: 40.5pt; text-indent: -.25in; mso-list: l1 level1 lfo1; tab-stops: list 40.5pt;"><!-- [if !supportLists]--><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; color: black;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="mso-bidi-font-family: Calibri; color: black;">3 </span><span style="mso-bidi-font-family: Calibri;">years’ experience in surgical and outpatient procedural coding is required.<span style="color: black;"><o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin-left: 40.5pt; text-indent: -.25in; mso-list: l1 level1 lfo1; tab-stops: list 40.5pt;"><!-- [if !supportLists]--><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; color: black;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="mso-bidi-font-family: Calibri; color: black;">Certified in at least one of the following:<o:p></o:p></span></p>
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<li class="MsoNormal" style="color: black; margin-left: .5in !msorm; text-indent: -.25in !msorm; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; mso-prop-change: 'Veres\, Petrina' 20231102T1512;"><span style="mso-bidi-font-family: Calibri;">AHIMA Certification (such as: RHIA, RHIT, CCS) <o:p></o:p></span></li>
<li class="MsoNormal" style="color: black; margin-left: .5in !msorm; text-indent: -.25in !msorm; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; mso-prop-change: 'Veres\, Petrina' 20231102T1512;"><span style="mso-bidi-font-family: Calibri;">AAPS Certification (such as: CPC, CCS-P, CCC, COC, CIC, CHONC, etc.) <o:p></o:p></span></li>
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<p class="MsoNormal" style="margin-left: 1.0in; text-indent: -.25in; mso-list: l1 level2 lfo1; tab-stops: 40.5pt list 1.0in;"><!-- [if !supportLists]--><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Courier New'; mso-fareast-font-family: 'Courier New';"><span style="mso-list: Ignore;">o<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="mso-bidi-font-family: Calibri; color: black;">AMAC Certification such as ROCC (Radiation Oncology Certified Coder) </span><i style="mso-bidi-font-style: normal;"><o:p></o:p></i></p>
<p class="MsoNormal" style="margin-left: .25in; text-indent: -13.5pt; tab-stops: .5in 40.5pt;"><i style="mso-bidi-font-style: normal;">Preferred:<o:p></o:p></i></p>
<p class="MsoNormal" style="margin-left: 40.5pt; text-indent: -.25in; mso-list: l0 level1 lfo2; tab-stops: .5in 40.5pt;"><!-- [if !supportLists]--><span style="font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="mso-bidi-font-style: italic;">1 year audit experience </span><i style="mso-bidi-font-style: normal;"><o:p></o:p></i></p>