Remote Inpatient Facility Auditor

Summary

The Inpatient Facility Coding Auditor reviews client records to assure accurate and complete ICD-10-CM and PCS codes, and assists in educating coders on proper utilization of facility guidelines. This position requires a credentialed professional in healthcare field with at least 5 years' coding work experience, including 2 years of coding review experience.

Requirements

• Credentialed professional in healthcare field (RHIA, RHIT, CCS); High school diploma or GED equivalent
• Completion of a formal coding program
• Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or other AHIMA or AAPC approved coding credential
• Minimum of five (5) years’ coding work experience
• Two years of coding review experience and coder education experience encompassing a working knowledge of the ICD-10-CM and CPT-4 coding systems; medical terminology; anatomy and physiology; and health record content
• Demonstrated fluency coding multiple types of inpatient records: Acute care, Swing Bed, Inpatient Rehabilitation, Skilled Nursing Facility, Long-Term Acute Care
• PC proficiency in word processing, spreadsheet and database software
• Communicates daily with clients and supervisor exhibiting adaptability, excellent customer service, and professional written and verbal communications skills
• Maintains enthusiasm and a sense of urgency towards work
• Accepts responsibility and accountability willingly
• In all activities, uses analytical, judgment, and decision-making skills in meeting the objectives of the position with an excellent eye for detail

Responsibilities

• Performs coding quality and accuracy audits on facility charts
• Identifies and verifies the principal and secondary diagnoses based on Official Guidelines for Coding and Reporting
• Identifies procedures based on UHDDS and Official Coding Guidelines and validates ICD-10-PCS codes
• Assigns the MS-DRG or other DRG for inpatient cases based on official guidelines
• Reviews facility health records for accuracy and completeness of coding and DRG assignment
• Provides education to coders on proper utilization of facility guidelines, Official Coding Guidelines, and Coding Clinic advice
• Understands and adheres to all requirements in the iMedX Corporate Compliance Program
• Performs coding and review in an efficient and productive manner utilizing good time management and professional work habits
• Refers coding questions to manager or designee in a timely manner for feedback and coding guideline development
• Continually enhances coding skills. Participates in coding roundtables, meetings and educational conferences to ensure coding practice is up-to-date
• Maintains confidentiality and safeguards the privacy of protected health information
• Promote the Company’s values
• Perform other job-related duties as may be assigned or required

Benefits

• The positions are remote
• The positions are paid on an hourly rate