Outpatient Coding Auditor

Signature Performance, Inc.

2d

About The Position

Advanced knowledge of the International Classification of Diseases, Clinical
Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural
Terminology (CPT-4 and Healthcare Common Procedure Coding System (HCPCS).
Practical knowledge of reimbursement systems, including Prospective Payment
System (PPS), Diagnostic Related Groupings (DRGs), and Ambulatory Payment
Classification (APC).
Creates clear and accurate audit findings and recommendations in written
audit reports that will be used for advising and educating Coders, Auditors,
Managers, and Directors throughout the organization. Delivers educational
feedback to coding staff regarding audit findings.
Identify documentation issues (lacking documentation, missed physician
queries, etc.) that impact coding accuracy. Clearly communicates (verbally
and in written reports or summaries) opportunities for documentation
improvement related to coding issues.
To provide guidance to other departmental staff in identifying and resolving
coding issues and/or error trends for improvement.
Provides continuing training to individual coders and to the coding staff
concerning changes in the coding and reimbursement system as well as any area
of weakness identified during the performance of coding validation reviews

Requirements

• Completion of a formal coding program with preference given to AHIMA and AAPC credentials (CCS, RHIT, CIC). 5+ years of progressive experience in professional medical coding/reimbursement
• Coding work experience encompassing a working knowledge of the ICD-10-CM and ICD[1]10-PCS; medical terminology; anatomy and physiology; and health record content.
• Comprehensive understanding of coding guidelines, Coding Clinics and appropriate coding references along with the ability to employ these coding resources to audit findings.
• Ability to work in multiple client systems and proficiency with Microsoft office applications.
• US. Citizenship, naturalized citizenship, or permanent status is required for this position.
• All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii.

Nice To Haves

• Cerner, EPIC and 3M 360 Encompass experience preferred
• Academic medical facility auditing experience preferred

Responsibilities

• Creates clear and accurate audit findings and recommendations in written audit reports
• Delivers educational feedback to coding staff regarding audit findings
• Identify documentation issues that impact coding accuracy
• Clearly communicates opportunities for documentation improvement related to coding issues
• Provide guidance to other departmental staff in identifying and resolving coding issues and/or error trends for improvement
• Provides continuing training to individual coders and to the coding staff concerning changes in the coding and reimbursement system

Benefits

• Health Insurance
• Fully Paid Life Insurance
• Fully Paid Short- & Long-Term Disability
• Paid Vacation
• Paid Sick Leave
• Paid Holidays
• Professional Development and Tuition Assistance Program
• 401(k) Program with Employer Match

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed