Medical Coding Outpatient Auditor
Location: Combination of work remotely and on-site
To apply, please email resume to: email@example.com
Provide medical record coding/auditing services of outpatient records; provide education and training for individuals/groups which may include Coders, Physicians, Nurses, Technicians or others involved in daily documentation and coding practices; develop and provide training via web-based format or other proposed method.
- Conduct medical record coding reviews of outpatient professional service encounters, may include Inpatient Professional Service Rounds (IPSR), Ambulatory Procedure Visits (APV) and Observation (OBS), and targeted toward areas
- Process an average of 20 per hour or 160 encounters per day (rate may vary by type of encounter and location)
- Participate in all staff orientation or training that may be required as a precondition to performance as may be prescribed by the hospital commander or designee. Such orientation may include instruction on automated processing, standing operating procedures (SOP), local in-services, quality improvement programs, safety programs. This shall be conducted during the contract employees regularly scheduled shift.
- Provide detailing audit results
- Prepares various reports
- Minimum of 5+ years in the healthcare industry, with hands-on actual coding with auditing experience, inpatient and outpatient coding/auditing experience, or teaching coding classes in an approved AHIMA accredited college program, and a knowledge base including ICD-9-CM converting to ICD-10, (both CM and PCS).
- Minimum of Associates degree in healthcare or related field; supplemented with two (2) years of related work experience, with two (2) years of medical auditing preferred. Accredited Record Technician/Certified Procedure Coder certification preferred. Certified Coding Specialist/physician or hospital-based required
- Current coding credentials/certifications from AHIMA (CCS and RHIA and/or RHIT), and/or AAPC required.
- Conducts and coordinates routine audits Supervises professional auditing staff; coordinates auditing activities and projects, ensuring confidentiality
- Knowledge of Federal and state compliance regulations
- Knowledge of medical terminology
- Must have excellent oral and written communication skills
- For Non-DoD experience must have at least 3 years direct inpatient, outpatient and specialty coding experience.
- With DoD experience have 2 years consulting experience.
- Working knowledge of Reimbursement and Compliance preferred.
- The contract employee shall have a working knowledge of an Automated Computer System, Microsoft Word, Microsoft Excel, basic knowledge of Military Health Care System and be able to use a standard keyboard.