IP/OP Facility Coding Auditor
RemoteJob Description
Kozani Health has an immediate need for an inpatient and/or outpatient coding auditor. The ideal candidate facilitates the successful compliance of the organization with all coding standards. Examines and analyzes facility medical claims to determine accuracy of CPT, HCPCS, and E/M services. Must be proficient in NCCI edits, DRG Validation, and CMS Coding Guidelines. Initiates training and procedures for Medicare regulations and changes. Partners with coding and compliance team regarding coding processes and training.
Experience – Required
Minimum 3 years recent experience in auditing inpatient and/or outpatient facility claims
Proficient in appeal letter writing
Advanced knowledge of medical terminology, CPT, HCPCS and ICD-10 coding and CMS billing policies for facility services
Project leadership, business partnering and cross-department/matrix collaboration
E/M auditing and/or healthcare compliance
DRG Validation
Candidate will be required to take an inpatient/outpatient auditing proficiency test.
Preferred
Bachelor’s- Related Discipline
Certificates, Licenses & Registrations
AAPC: Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), AHIMA: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA)
CONTACT: ymacias@kozanihealth.com
Kozani and its affiliates is an Equal Opportunity Employer (EOE).
This position will be responsible for hospital inpatient and/or outpatient auditing and compliance.
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