Facility Medical Coding Auditor


Industry: Auditor - Multi Spec Job Number: 2872

Job Description

Part Time with possibility to go Full Time | Remote

Job Overview/Purpose
The primary responsibility of the Facility Medical Coding Auditor is to audit ICD-10-CM/PCS, present on admission  indicators (“POA”), APR-DRG & MS-DRG, HCPCS, CPT, Modifiers & APC assignment and identify documentation improvement based on medical record documentation, as needed for various client projects.

Founded in 1994 Managed Resources (MRI) and CodingAID, a division of MRI in Long Beach California, CodingAID partners with clients nationwide to help them solve complex revenue cycle and compliance challenges.  In our over 25 years of operations, CodingAID has had the pleasure of working with many of the most prestigious healthcare organizations and medical groups in the county that span from the Hawaiian Islands to the East Coast.  

Please read the below description and apply if you meet the requirements and would like to hear more about this opportunity with CodingAID.

Complete the following functions in accordance with CodingAID policies:
  • Abstract all ICD-10-CM/PCS, present on admission indicators (“POA”), APR-DRG & MS-DRG, HCPCS, CPT, Modifiers & APC assignment from the medical record documentation.
  • Enter data into audit software and/or audit detail report.
  • Evaluate the overall quality of physician documentation to provide feedback to the client for education opportunities.
  • Perform internal coder quality reviews.
  • Provider recommendations to incorporate into the Executive Summary.
  • Must be able to meet the minimum productivity standards.
  • Must meet or exceed 95% accuracy rate on quality reviews.
  • Ensure accurate and timely submission of completed report to clients.
  • Enter time accurately and timely into our timekeeping system.
  • Comply with policies regarding the use and disclosure of protected health information which includes accessing and using protected health information only to the extent necessary to fulfill the above-mentioned responsibilities
  • Ensure compliance with federal and state laws, regulations, and standards related to health information and coding principles.
  • Other duties as assigned
Ideal candidate will possess the following:
  • minimum of 5+ years of experience required auditing and abstracting ICD-10-CM/PCS, present on admission indicators (“POA”), APR-DRG & MS-DRG, HCPCS, CPT, Modifiers & APC assignment for multi-specialty facility fee services including surgeries
  • Valid and active AHIMA Coding Certification (CCS, RHIT, RHIA) is required
  • High level coding expertise in IPPS and/or OPPS.
  • Requires advanced technical knowledge in specific surgical and medical specialties as assigned.
  • Extensive knowledge of medical terminology and ability to research coding related questions.
  • Must have experience with data entry of codes into a database and/or software tool.
  • Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems.
  • Excellent oral and written communication skills.

Managed Resources is an Equal Opportunity Employer (EOE) M/F/D/V/SO

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