Facility Outpatient Coding Auditor

Qualifications

• Current CCS, RHIT, CPC, or COC credential required
• AHIMA ICD-10-CM proficiency
• Minimum of five years of outpatient facility coding and auditing experience with ICD-10-CM, CPT, HCPCS, and modifier assignment
• Advanced knowledge of outpatient facility coding principles and reimbursement methodologies
• Experience auditing multiple outpatient specialties and identifying documentation improvement opportunities
• Strong knowledge of medical terminology and the ability to research complex coding questions
• Experience entering coding and audit data into databases and audit software
• Proficiency with Microsoft Excel, Word, and Electronic Medical Record (EMR) systems
• Excellent written and verbal communication skills

Responsibilities

• Audit outpatient facility records to validate ICD-10 diagnosis coding, CPT/HCPCS codes, modifiers, APC assignment, units of service, and other coding and billing elements
• Identify coding errors, documentation deficiencies, compliance concerns, and opportunities for improvement
• Apply coding and regulatory guidelines to audit work and findings
• Document findings clearly with supporting rationale
• Communicate findings, trends, and patterns to leadership
• Maintain compliance with PHI handling requirements and applicable federal and state regulations

Benefits & Perks

• Remote work environment
• Competitive compensation
• Phone and internet stipend
• Medical, dental, and vision insurance for full-time employees
• 401(k) retirement plan with company match
• Paid time off
• Seven company holidays
• Two floating holidays
• Professional development opportunities
• Employee recognition programs