Outpatient Coding Auditor

You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others.

Tell us about your experience with Outpatient Coding Auditing.

Are you a team player and a self-motivator?

We are counting on you to manage multiple projects using your problem-solving skills.

We are looking for someone UNCOMMON. What is uncommon about you?

Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you.

Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural Terminology (CPT-4 and Healthcare Common Procedure Coding System (HCPCS).

Practical knowledge of reimbursement systems, including Prospective Payment System (PPS), Diagnostic Related Groupings (DRGs), and Ambulatory Payment Classification (APC).

Creates clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating Coders, Auditors, Managers, and Directors throughout the organization. Delivers educational feedback to coding staff regarding audit findings.

Identifies documentation issues (lacking documentation, missed physician queries, etc.) that impact coding accuracy. Clearly communicates (verbally and in written reports or summaries) opportunities for documentation improvement related to coding issues.

To provide guidance to other departmental staff in identifying and resolving coding issues and/or error trends for improvement.

Provides continuing education to individual coders and to the coding staff concerning changes in the coding and reimbursement system as well as any area of weakness identified during the performance of coding validation reviews