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Acuvance Coker - IP and OP Auditor

ROI Healthcare Solutions

Remote Full Time Inpatient/Outpatient Auditor positions are currently available.Benefits offered for Full Time employees.Candidates MUST have a minimum of five years’ experience with an acute care hospital auditing inpatient and outpatient charts. Auditor will conduct coding assessments and billing audit validations to assist clients in preventing noncompliance issues. Job Responsibilities Perform in-depth quality assurance audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes and MS-DRG and APR-DRG assignments and/or CPT-4 and APC assignments, based on clinical documentation Audit patient records, reviewing diagnosis and procedures for coding compliance with local, state, federal coding regulations and guidelines Identify occurrences of “over” or “under” coding of patient records Identify potential documentation issues Prepare detailed reports on audit findings Present via webinar software, audit findings, education, and trends to physicians, coders, and/or other facility professionals Requirements 5+ Years Inpatient and Outpatient Auditing experience with an Acute Care Facility Ideally, at least two active coding credentials: CCS, CCS-P, CPC, CDIP, RHIT and/or RHIA IVR coding is a plus Extensive knowledge of medical terminology and ability to research coding related questions Excellent oral and written communications skills Successfully pass pre-hire coding assessments AA degree, or equivalent preferred Knowledge of Microsoft Office software: Excel and Word Summary This Job Is Ideal for Someone Who Is: Dependable -- more reliable than spontaneous Adaptable/flexible -- enjoys doing work that requires frequent shifts in direction Detail-oriented -- would rather focus on the details of work than the bigger picture Autonomous/Independent -- enjoys working with little direction Job Types: Full-time 401(k) Health insurance Life insurance Paid time off Vision insurance Experience Acute care: 5 years (Required) Working as an IP and OPAuditor: 5 years (Required) License/Certification CCS, CCS-P, COC, CDIP, RHIT or RHIA Certificate (Required) #J-18808-Ljbffr ROI Healthcare Solutions

Vacancy posted 5 days ago
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