Remote Coding Compliance Auditor

QUALCODE INC. IS LOOKING FOR A REMOTE CODING COMPLIANCE AUDITOR TO JOIN OUR TEAM!!

Job Overview
The Remote Coding Compliance Auditor will support compliance with coding guidelines and internal policies by performing coding and validation audits of medical records coded and/or validated by QualCode staff. The Remote Coding Compliance Auditor will provide feedback and education on the results of auditing and monitor the overall coding quality of QualCode coding/validating staff.

Qualification Requirements-

• RHIA/RHIT/CCS/CIC/CPC certification required.
• Minimum of five years progressive inpatient AND outpatient auditing experience with data management responsibilities.
• Outpatient: CPT/HCPCS and ICD-10-CM, NCCI and LCD edits.
• Inpatient: ICD-10-CM/PCS coding system, strong and in-depth knowledge of MS-DRG & APR DRGs.
• Experience developing and presenting education both one-on-one and in group setting.
• Extensive knowledge of AHA and CMS coding guidelines.
• Strong organizational skills and attention to details.
• Excellent written and oral communication skills.
• PC proficient, having a functional knowledge of facility EMR, encoder, and other support software.
• Experience working with academic teaching facilities and Level I and II Trauma Centers.

Responsibilities

• Reviews inpatient medical records to validate, assignment and sequencing of ICD-10 diagnosis and PCS codes, discharge status codes, Hospital Acquired Conditions (HACs), POA assignment, and DRG assignment.
• Adherence to all coding guidelines and CDI best practices, as endorsed by ACDIS and AHIMA, to determine correct coding that is clinically supported.
• Analyze records for potential query opportunities and appropriate code assignment and code sequencing.
• Maintain quality of reviews and making sure the true clinical picture is captured.
• Staying up to date with official coding guidelines, coding clinics and clinical criteria.
• Available to provide training to other team members, if required, along with supporting development of training materials, as well as clinical, coding policies.
• Assisting with project data analysis, reporting, and feedback internally.
• In all situations, protecting the privacy and confidentiality of patient health and client information, and follows the Standards of Ethical Coding as set forth by AHIMA/AAPC and adheres to official coding guidelines and compliance practices, standards, and procedures.
• Communicates with coworkers in an open and respectful manner that promotes teamwork and knowledge sharing.
• Maintenance of professional credentials and knowledge of coding, reimbursement, and compliance issues through continuing education.
• Other duties and responsibilities, as assigned.

Benefits:

• Medical
• Dental
• Vision
• Life Insurance
• 2 weeks PTO
• 11 Paid holidays
• 401K

Job Type: Full-time

Pay: $80,000.00 - $90,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: Remote