THE HCS TEAM
Healthcare Cost Solutions employs HIM professionals whose work ethic and quality standards are among the highest in the industry. Thus, we are always looking for individuals who:
CURRENT JOB OPENINGS
Inpatient/Outpatient Coding Compliance Auditor
Full-Time Inpatient/Outpatient Auditor position is currently available. Candidates MUST have a minimum of three years’ experience with an acute care hospital. Auditor will conduct coding assessments and billing audit validations to assist clients in preventing noncompliance issues.
Job Responsibilities:
- Perform in-depth quality assurance audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes and MS-DRG and APR-DRG assignments and/or CPT-4 and APC assignments, based on clinical documentation
- Audit patient records, reviewing diagnosis and procedures for coding compliance with local, state, federal coding regulations and guidelines
- Identify occurrences of “over” or “under” coding of patient records
- Identify potential documentation issues
- Prepare detailed reports on audit findings
- Present via webinar software, audit findings, education, and trends to physicians, coders, and/or other facility professionals
Job Qualifications:
- 5+ years inpatient auditing experience with an acute care facility
- Ideally, at least two active coding credentials: CCS, CCS-P, CPC, CDIP, RHIT and/or RHIA
- AA degree, or equivalent
- Knowledge of Microsoft Office software: Excel and Word