Outpatient Coding Auditor

Anmed Gmbh•Anderson, SC

10d

About The Position

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.

Requirements

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.

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.