Outpatient Coding Auditor - Remote/Nationwide

at Signature Performance, Inc. in Boise, Idaho, United States

Job Description

This is a remote based position. Applicants can be located nationwide

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17h

Outpatient Coding Auditor
#2814

United States
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Position Description

About You
You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others.
Tell us about your experience with Outpatient Coding Auditing.
Are you a team player and a self-motivator?
We are counting on you to manage multiple projects using your problem-solving skills.
We are looking for someone UNCOMMON. What is uncommon about you?
Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you.
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.
Identifies 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 education 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
Minimum 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.
Cerner, EPIC and 3M 360 Encompass experience preferred
Academic medical facility auditing experience preferred
About Us
You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission.
About the Benefits
When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life... For full info follow application link.

This Company is an Equal Opportunity Employer, and does not discriminate on the basis of race, gender, ethnicity, religion, national origin, age, disability, veteran status, or on any other basis prohibited by law. Information on race, gender and national origin will only be used for statistical and recordkeeping purposes, and will not be used in making any employment decisions. All information provided will be kept separate from your expression of interest. Providing this information is strictly voluntary, and you will not be subjected to any adverse action or treatment if you choose not to provide this information. If you do not choose to answer these questions, we ask that you select "Decline to Identify" for each question. Thank you for your voluntary cooperation.