Coding Compliance Auditor

November 26

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Tenet Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1967

⚕️ Healthcare Insurance

💰 $2G Post-IPO Debt on 2022-05

Description

• Conducts risk-based coding compliance audits of inpatient and outpatient encounters. • Validates code assignment is in compliance with official coding guidelines. • Reviews claims to validate submitted codes and abstracted data.

Requirements

• Associates degree in relevant field preferred or combination of equivalent of education and experience • Three (3) years coding experience including but not limited to hospital inpatient and outpatient encounters • One (1) year of experience in coding audit or quality review work including but not limited to hospital inpatient and outpatient encounters. • AHIMA and/or AAPC Coding Credential, CCS preferred • Ability to consistently and accurately audit coding of inpatient and outpatient encounters • Ability to create clear and concise audit reports and maintain productivity standards • Must successfully pass pre-hire coding assessment • Knowledge of medical terminology, ICD-9/10 CM/PCS, EM, and CPT-4 coding guidelines and methodologies • Knowledge of disease pathophysiology and drug utilization • Knowledge of MS-DRG classification and reimbursement structures • Knowledge of APC, OCE, NCCI classification and reimbursement structures • Must be detail oriented and have the ability to work independently • Computer knowledge of MS Office • Must display excellent interpersonal skills • Ability to demonstrate initiative and discipline in time management and assignment completion • Ability to work in a virtual setting under minimal supervision

Benefits

• Medical, dental, vision, disability, and life insurance • Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. • 401k with up to 6% employer match • 10 paid holidays per year • Health savings accounts, healthcare & dependent flexible spending accounts • Employee Assistance program, Employee discount program • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. • For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.