Job Description

Outpatient Coding Auditor (PRN)

CSI Companies is actively seeking REMOTE Outpatient Auditors with one of our clients, a leading non-profit hospital system that is taking the level of care to the next level! Candidates may sit anywhere in the United States. This is a contract, remote Inpatient coding opportunity.

Position Overview:

• PRN Consulting position; part-time hours available.
• 100% Remote position – nationwide.
• Responsible for independently reviewing coded data quality through ongoing analysis and evaluation of outpatient records. .
• Performs con-current audits on accuracy of APC, ASC or MS-DRGs as well as on quality of medical record documentation needed for accurate coding.
• Prepare reports and performs constant tracking and trending of audit results as well as prepare presentations for Coding Staff education.
• Create consistency and efficiency in outpatient claims processing and data collection to optimize APC, ASC or DRG reimbursement.
• Performance standards: Maintains 95% coding accuracy rate and 95% accuracy rate and maintains designated productivity standards
• Will require high-speed home internet connections and a quiet home office environment free from distractions.

Responsibilities:

• Will audit inpatient hospital charts for up to 10 inpatient coders.
• Ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.
• Maintains and achieves departmental standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and APC assignment utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines.
• Reviews medical records to identify recovery opportunities on claims for outpatient facility, professional, and other allied health services.
• Provides a detailed rationale, including supporting references, for every review resulting in an outpatient findings letter.
• Maintains and achieves departmental standards of abstracting quality by reviewing the discharge disposition entered by nursing and corrects if necessary, in order to achieve the highest quality of entered data.
• Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system.
• Responsible for assigning diagnostic and procedural codes to encounters of high complexity.
• Maintains 95% coding accuracy rate and 95% accuracy rate for MS-DRG assignment and maintains site designated productivity standards.
• Maintains minimum production of 1 chart per hour or site specific productivity standards.
• Demonstrates excellent written and verbal communications skills.
• Communicates professionally with co-workers, management, and hospital staff regarding clinical and reimbursement issues.
• May be responsible for auditing the work of less experienced coders.
• Perform other related duties as assigned.

Qualifications:

• A minimum of 2-5 years of coding/auditing experience in a hospital and/or coding consulting role.
• Experience in computerized encoding and abstracting software.
• Associate or Bachelor’ degree from AHIMA certified HIM Program or Nursing Program or completion of certificate program with CCS preferred.
• Must have at least one of the following certs: CCS, RHIA or RHIT.
• Proficient in ICD10CM/PCS, CPT4, and HCPCS coding conventions and guidelines.
• Proficient in MS Word, Excel and PowerPoint.

Aside from a benefits package that is a cut above the rest, you will gain access to an award-winning company culture. Want to see for yourself?

With CSI, you will gain access to….

• Healthcare coverage plus HSA matching
• Onsite corporate gym with Wellness Challenges with incentives & rewards for participation
• Participation in 401(k) retirement plan
• Competitive compensation plans with a generous PTO policy.
• An award-winning corporate culture

The CSI Companies provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws

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