Ambulatory Services Auditor – CDS 1
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Job Description
Ambulatory services auditor reviewing medical records and coding for St. Charles Health System, a Central Oregon healthcare provider. Supporting compliance, documentation accuracy, education, and revenue integrity.
Responsibilities:
- Conduct system-wide pre-visit or post-visit chart reviews of professional services in hospital and clinic/office settings
- Audit and monitor all lines of system business for coding, including outpatient, inpatient and ambulatory services
- Perform audits for the HIM Professional Services Coding team and provide feedback and education
- Evaluate medical records for accurate clinical documentation supporting patient acuity, HCC risk profiles, and diagnostic/procedural code integrity
- Develop and update procedure manuals for correct coding standards
- Assist with system-wide education and training in professional services coding
- Assist in setting direction for coding compliance and education
- Provide technical guidance to physicians and departmental staff on incomplete records and nonconforming codes
- Recommend process and policy improvements or system changes to reduce losses and improve efficiency
- Monitor trends and prepare reports on documentation, coding issues, and denied claims
- Support organizational vision, mission, values, Lean continuous improvement, safety, confidentiality, compliance, and customer service
- Perform additional duties of similar complexity as required or assigned
- Report to the System Revenue Integrity Director
Requirements:
- High school diploma or GED
- Required certification/licensure: RHIA, RHIT, CCS-P, CPC, CPMA, CRC, RN, or LPN
- 0-3 years of coding experience required, or an equivalent combination of education and experience
- Knowledge of current Medicare regulations, including MPFS, IPPS and OPPS
- Must be able to wear appropriate Personal Protective Equipment (PPE)
- Preferred: Associates degree in Health Information Technology or related field
- Preferred: Inpatient, Outpatient, and Ambulatory services coding experience
- Preferred: Physician Evaluation and Management coding experience
- Ability to work remotely from an approved state: Oregon, Arizona, Arkansas, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, or Wisconsin
- Ability to work Monday-Friday, 07:00-15:00, first shift
- Ability to work 40 hours weekly
Benefits:
- Competitive Salary
- Comprehensive benefits including Medical, Dental, Vision for you and your immediate family
- 403b with up to 6% match on Retirement Contributions
- Generous Earned Time Off
- Growth Opportunities within Healthcare
- Remote work from an approved state by St. Charles
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