Hospital Coding Auditor

October 24

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R1 RCM

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Revenue Cycle Management (RCM) • Physician Advisory Services • Digital Transformation • Patient Experience • Practice Management

10,000+

🔥 Funding within the last year

💰 Private Equity Round on 2024-07

Description

• Review hospital charges against medical record and documentation for appropriate code assignments • Understand billing and coding requirements for government and commercial payers • Abstract statistical data from patient records and enter information following facility guidelines • Follow HIPAA regulations and uphold privacy standards • Maintain at least a 95% accuracy rate and productivity standards

Requirements

• CPC, CCS, CPC-H (COC), CPMA, CIC, RHIA, RHIT and/or CCS-P certification • Experience in billing, charge documentation, charge audit or charge capture activities • Experience coding multi-specialties preferred possibly including trauma, orthopedics, cardiology, interventional radiology, and neurology • Demonstrated knowledge of clinical processes; clinical coding (CPT, HCPCS, ICD-10, revenue codes, status indicators, and modifiers) • Knowledge of CMS guidelines, Ambulatory Payment Classification, and Outpatient Prospective Payment System, reimbursement structures and prebill edits • Experience with encoder technology and electronic medical record systems • Ability to work in a flexible environment, adapting to changing priorities • Excellent organizational skills and strong attention to detail

Benefits

• Competitive benefits package • Opportunities for career advancement • Chance to contribute and make a difference in communities