Coding Auditor
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Job Description
Outpatient Coding Auditor analyzing medical records for coding accuracy in a remote role with Gainwell. Contributing to healthcare solutions through auditing processes and guidelines adherence.
Responsibilities:
- Performs audits of medical record documentation to determine the accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes.
- Adheres to official coding guidelines, coding clinics and regulatory guidelines and mandates.
- Draws on advanced ICD-10 coding expertise to substantiate conclusions.
- Utilizes proprietary auditing systems with a high level of proficiency to document audit determinations and rationale.
- Consistently achieves productivity and quality performance standards established by management.
- Actively cross-trains to perform reviews of multiple claim types to provide a flexible workforce to meet client needs.
- Assists management with training new Coding Auditors to include daily monitoring, mentoring, feedback and education.
- Maintains current knowledge of coding guidelines and successfully completes required CEUs to maintain coding certification.
- Responsible for attending training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations.
Requirements:
- One or more active professional credentials through AHIMA or AAPC: CPC, COC, CCS, RHIA, RHIT; required
- 2+ years experience of outpatient medical record coding and/or auditing; required
- Demonstrated proficiency in medical record auditing and ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodology.
- Demonstrated proficiency in computer skills and typing, i.e., Microsoft Windows, Outlook, Excel, Word, PowerPoint, Internet browsers and in virtual meeting tools i.e., Microsoft Teams, Zoom, etc.
Benefits:
- Benefits on first day of employment
- Generous, flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership and technical development academies
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