IP/OP Facility Coding Auditor
Full TimeKozani Health is actively recruiting for a Inpatient/Outpatient Facility Auditor to start immediately. The Auditor will work remotely and will report to our Director of Bill Review.
Roles And Responsibilities:
• Provide audit services including CPT coding, abstracting and DRG and APC reviews in multiple health systems and facilities. • Ability to successfully perform coding quality reviews to validate correct coding, following Kozani Quality Review guidelines. • Maintain ongoing communication with management, coding staff and clients to ensure target coding compliance goals are met. • Perform QA reports and prepare data to be used in report preparation. • Support company Compliance Program by demonstrating adherence to all relevant compliance policies and procedures as evidenced by in-service attendance and daily practice; notifying management when there is a compliance concern or incident; demonstrating knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of patient information; promoting confidentiality and using discretion when handling patient information.
Qualifications:
• High level coding expertise in IPPS/OPPS, as well as DRG assignment, MUE edits, and NCCI edits, and appeal letter writing • Ability to research payor policies • Experience in charge reviews – knowledge of chargemaster information • Problem solving skills – not just looking at the coding on an account, but ability to see bigger picture to determine what is wrong • Knowledge of Microsoft Office products (Word, Excel, PowerPoint, and Access) • Ability to work independently in a fast-paced role • Ability to prioritize, and meet multiple deadlines • Strong communication, administrative and organizational skills • Ability to multi-task and act effectively under pressure with initiative, tact, and poise • Participate in special projects as needed
For qualified candidates, an auditing test will be required before interview.
CONTACT: ymacias@kozanihealth.com
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