What are the responsibilities and job description for the OP Auditor position at Coker?
Brief Description
Remote Full Time or Part-Time Outpatient Auditor positions are currently available. Benefits offered for Full Time employees. Candidates MUST have a minimum of five years’ experience with an acute care hospital auditing outpatient/ER charts. Auditor will conduct coding assessments and billing audit validations to assist clients in preventing noncompliance issues.
Job Responsibilities
This Job Is Ideal for Someone Who Is:
Benefits
Remote Full Time or Part-Time Outpatient Auditor positions are currently available. Benefits offered for Full Time employees. Candidates MUST have a minimum of five years’ experience with an acute care hospital auditing outpatient/ER charts. Auditor will conduct coding assessments and billing audit validations to assist clients in preventing noncompliance issues.
Job Responsibilities
- Perform in-depth quality assurance audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes and MS-DRG and APR-DRG assignments and/or CPT-4 and APC assignments, based on clinical documentation
- Audit patient records, reviewing diagnosis and procedures for coding compliance with local, state, federal coding regulations and guidelines
- Identify occurrences of “over” or “under” coding of patient records
- Identify potential documentation issues
- Prepare detailed reports on audit findings
- Present via webinar software, audit findings, education, and trends to physicians, coders, and/or other facility professionals
- 5 Years Outpatient or Inpatient Auditing experience with an Acute Care Facility
- Ideally, at least two active coding credentials: CCS, CCS-P, CPC, CDIP, RHIT and/or RHIA
- Extensive knowledge of medical terminology and ability to research coding related questions
- Excellent oral and written communications skills
- Successfully pass pre-hire coding assessments
- AA degree, or equivalent preferred
- Knowledge of Microsoft Office software: Excel and Word
This Job Is Ideal for Someone Who Is:
- Dependable -- more reliable than spontaneous
- Adaptable/flexible -- enjoys doing work that requires frequent shifts in direction
- Detail-oriented -- would rather focus on the details of work than the bigger picture
- Autonomous/Independent -- enjoys working with little direction
Benefits
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
- Acute care: 5 years (Required)
- working as an Op Auditor: 5 years (Required)
- CCS, CCS-P, COC, CDIP, RHIT or RHIA Certificate (Required)