Coding Quality Auditor PRN (Remote) - Must live in FL
Full Time
Sarasota, FL 34236
Posted
Job description
Job Summary:
Optimizes prospective payment reimbursement and facilitates data quality by creating consistency and efficiency in physician documentation, code assignment, data collection, and claims processing. Responsible for working with physicians, coders, ancillary department staff, CDI, and other allied health professionals to improve documentation of patient care and to appropriately assign codes and/or determine charges to support those services. Performs retrospective random and focused audits of coding cases to ensure accurate code application and overall coding quality. Performs pre-bill compliance audits to ensure accurate code assignment, application of coding guidelines, and compliance with external regulatory and accreditation requirements. Identifies solutions to improve the overall data quality of the health records and to assure that appropriate reimbursement is obtained for services provided.
Remote opportunity but must live in Florida and be available for on-site training (approximately 4 weeks depending on experience).
PRN position is set pay rate of $40/hr.
Coding certification from the American Health Information Management Association (AHIMA).
Preferred Qualifications:
- Prefer comprehensive knowledge of the Prospective Payment System and other regulatory requirements and payment systems.
- Prefer past auditing experience or strong training background in coding and reimbursement.
HS EQ: High School Diploma, GED or Certificate
Required License and Certs:
CCS: Certified Coding Specialist
Preferred License and Certs:
RHIT: Registered Health Info Tech
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