Inpatient Medical Coding Auditor

March 14

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Plutus Health Inc.

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Plutus Health Inc. is a leading provider of revenue cycle management (RCM) solutions, specializing in comprehensive medical billing, coding, and denial management services tailored for healthcare providers across the United States. With over 15 years of experience, the company leverages advanced technologies, including robotic process automation (RPA) and artificial intelligence (AI), to streamline the billing processes, improve clean claim percentages, reduce denial rates, and enhance overall financial performance for its clients in various medical specialties. Plutus Health is committed to delivering high-quality, HIPAA-compliant services that allow healthcare organizations to optimize their revenue cycle management and provide better patient care.

Revenue Cycle Management • Medical Billing • Healthcare IT • Offshore IT & Billing Services • Medical Coding

1001 - 5000 employees

Founded 2008

⚕️ Healthcare Insurance

💳 Fintech

☁️ SaaS

📋 Description

• KODE is creating a new category in the medical coding space: the "Uber" of medical coding. • The KODE platform has created a unique opportunity to solve a growing healthcare labor problem by bringing "gig" work to existing coders and those who haven’t considered medical coding as a career path before. • Koders on the platform take control of their careers while gaining valuable experience and mentorship from coding masters who are already a part of our community. • They work when, how, and where they want, earning extra income along the way. • It’s no secret – the model of coding is inherently flawed. • Hospitals and providers have been forced to try to solve a variable problem with a fixed solution. • With constantly fluctuating volumes, it’s simply impossible for providers to juggle staffing challenges with a limited FTE workforce. • We set out to rectify this by doing what no one else has. • We are looking for a dynamic Medical Coding Auditor to provide onboarding, and continuing compliance reviews.

🎯 Requirements

• Professional Certification: CCS, RHIA or RHIT • Experience auditing level 1 trauma center, and educational facilities. • 3 years of current auditing experience. • Comprehensive knowledge of DRG Validation, ICD-10 CM/PCS Official Guidelines for Coding and Reporting, Coding Clinics, Clinical Validation. • Preferred experience DRG Validation and when to Query the provider. • Experience with multiple EMR Systems such as Epic, Cerner, and Meditech. • Experience with facility access platforms: Citrix, VMWare, Remote Desktop, etc. • Strong verbal and written communication skills. • Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. • Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices. • Participates and provides meaningful feedback during coding meetings. • Takes initiative to assist others and shares knowledge with the coding group and business partners on official coding guidelines. • Assists with quality assurance (peer) reviews to ensure data integrity and accuracy of coding, identifies opportunities for improvements, and makes recommendations for optimal enhancements. • Bonus Outpatient, Professional and Facility coding experience.