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Title

Inpatient/Outpatient Coding Auditor - $30-$38/hr. 

EOE Statement eCatalyst Healthcare Solutions, Inc. is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.  
Description

Remote Inpatient/Outpatient Coding Auditor - $30-$38/hr.

Compensation: $30-$38/hr. (DOE)

Location: Remote - Work from home!

Schedule: Full-Time, Monday-Friday

Status: Non-Exempt Employee - On deck waiting for our next assignment.

Founded in 2007, eCatalyst Healthcare Solutions is a full-service HIM company located in Phoenix, AZ. We partner with our clients to provide services including coding, auditing, CDI, denials management, staffing, consulting, and revenue cycle services. We aim to solve the issues of our clients and partners by providing professional services and leading best practices.

Job Summary

We are looking for a Remote Inpatient/Outpatient Coding Auditor who will provide client services and lead, coordinate and perform all functions of quality reviews for inpatient and outpatient coding across multiple clients.

The Remote Inpatient/Outpatient Coding Auditor performs quality reviews on coders ensuring compliance with coding guidelines and company policies for complete, accurate, and consistent coding. eCatalyst’s client focused approach includes professionalism, responsiveness to client requests and quality services resulting in appropriate reimbursement and data integrity.

The Remote Inpatient/Outpatient Coding Auditor reviews include Inpatient ICD-10 CM/PCS coding, MS-DRG/APR-DRG validation, Outpatient ICD-10, CPT, APC, CPT Modifiers, ED E&M and professional coding and E&M assignments.

Our ideal candidate serves as a knowledge expert and maintains up-to-date working knowledge of coding guidelines in order to act as a resource and point person for issues and question for coders, customers or project teams.

Essential Functions

· Reviews physician documentation for coding appropriateness and accuracy in accordance with AMA coding guidelines.

· Utilizes an electronic medical record (EMR) and computer-assisted coding (CAC) software or an encoder, depending on the client.

· Complies with eCatalyst Healthcare’s coding practices to meet corporate compliance guidelines and to ensure appropriate and effective reimbursement with client’s financial services, medical staff, and other departments.

· Reviews and analyzes medical records for accurate code selection.

· Maintains query communication with providers to ensure timely notification of identified documentation issues that may impact revenue or compliance.

· Assists with the interpretation of codes and other information requested for accurate billing and reimbursement.

· Possesses knowledge and understanding of failed bill parameters. Performs outpatient charge reconciliation to ensure all submitted charges are posted timely and balance with total submitted charges. Assigns charges as applicable.

 
Position Requirements

Minimum Requirements

  • Minimum of five (5) years of coding experience.
  • Minimum of three (3) years of coding auditing experience.
  • 1+ year of Academic Medical Center experience.
  • Proficiency in MS Office, including Outlook, Word, Excel and Teams.
  • Educated in HIPAA regulations; must maintain strict confidentiality of patient and client information.
  • Keen attention to detail to maintain 95% corporate quality standards.
  • Ability to organize and complete work in a timely manner.
  • Ability to read, write and effectively communicate in English.
  • Ability to understand medical/surgical terminology.

 

Required Certifications

The candidate must have at least one of the following professional certifications:

  • RHIT (Registered Health Information Technician) or
  • CCS-P (Certified Coding Specialist-Phys Based)
  • CCS (Certified Coding Specialist)
  • CMPA (Certified Professional Medical Auditor)
  • RHIA (Registered Health Information Administrator)

 

EEO STATEMENT

eCatalyst Healthcare Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, national origin, age, sex, citizenship, disability, genetic information, gender, sexual orientation, gender identity, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state, and local laws.

 
Full-Time/Part-Time Full-Time  
About the Organization eCatalyst Healthcare Solutions brings together the best and brightest experts to stand beside our clients by delivering success in HIM, Coding, Auditing, CDI, Revenue Cycle and Information Governance. We have contracts that range from Level 1 Trauma Centers to small, remote community-based hospitals throughout the country.  

This position is currently not accepting applications.

To search for an open position, please go to http://CDMEnterprisesInc.appone.com



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