Coding Compliance Auditor Remote/Hybrid
Accurately audits hospital Inpatient, Ambulatory Surgery, Observation & any outpatient visit for appropriate reimbursement.
Compliance with federal & state regulations according to established ICD-10CM/PCS coding & CPT-4 procedure coding classification.
Clinical coding subject matter expert. Evaluate & analyze documentation issues consulting with medical staff.
Audits complex cases utilizing the ICD-10-cm & ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM & POA Assignments
Required qualifications:
Must have inpatient auditing experience.
Minimum 2 years ICD-10-CM, ICD-10-PCS, CPT- 4 training.
Level 1 Trauma hospital experience or 4 years experience with coding inpatient hospital medical records
2 to 3 year ambulatory coding.
Certifications...
Must have at least 1
Certified Coding Specialist (CCS)
Registered Health Information Tech (RHIT)
Registered Health Information Administrator (RHIA)
Certified Inpatient Coder (CIC)