Acute Hospital Outpatient Compliance Auditor

5 days ago

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Miratech

Miratech helps visionaries to change the world. We are a global IT services and consulting company that brings together global enterprise innovation and start-up innovation. Today we support digital transformation for the largest enterprises on the planet.

Outsourcing • Software Development • Professional Services

501 - 1000 employees

Founded 1989

💰 Private Equity Round on 2022-04

📋 Description

•Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for appropriate reimbursement, research and compliance with federal regulations. •Serves as a clinical coding subject matter expert and utilizes critical thinking to analyze and evaluate documentation issues with consultation from medical staff. •Audits ICD-10 diagnostic codes and CPT-4 procedure codes to ensure accurate APR-DRG/SOI/ROM and POA assignment. •Serves in an advisory and educator role for Coding Specialists. •Researches new surgical procedures and technology. •Provides training to new employees.

🎯 Requirements

•High School graduate or equivalent. •Formal ICD-10-CM, ICD-10-PCS, CPT-4 training. •Associates or Bachelor’s degree. •Minimum of two years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma hospital or 4 years of experience with coding inpatient hospital medical records. •2-3 Years Ambulatory coding experience. •One of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC)

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