Gainwell Technologies · 6 hours ago

Certified Coding Auditor (Remote in US)

Arkansas, United States

Contract

Remote

Entry, Mid Level

$20/hr - $45/hr

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Responsibilities

Performs audits of medical record documentation to determine the accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes.

Adheres to official coding guidelines, coding clinics and regulatory guidelines and mandates.

Draws on advanced ICD-10 coding expertise to substantiate conclusions.

Utilizes HMS proprietary auditing systems with a high level of proficiency to document audit determinations and rationale.

Consistently achieves productivity and quality performance standards established by management.

Actively cross-trains to perform reviews of multiple claim types to provide a flexible workforce to meet client needs.

Assists management with training new Coding Auditors to include daily monitoring, mentoring, feedback and education.

Maintains current knowledge of coding guidelines and successfully completes required CEUs to maintain coding certification.

Responsible for attending training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations.

Qualification

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ICD-10 codingMedical record auditingAP-DRG understandingMS-DRG understandingCPT coding methodologyHMS proprietary systemsAHIMA certificationAAPC certificationMicrosoft OfficeVirtual meeting toolsComputer skillsMentoring

Required

Demonstrated proficiency in medical record auditing and ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodology.

Demonstrates a thorough understanding of the APR-DRG, AP-DRG, and MS-DRG.

One or more active professional credentials through AHIMA or AAPC: CPC, CCS, COC, RHIA, RHIT.

Demonstrated experience in medical record coding and auditing.

Demonstrated proficiency in computer skills and typing, i.e., Microsoft Windows, Outlook, Excel, Word, PowerPoint, Internet browsers and in virtual meeting tools i.e., Microsoft Teams, Zoom, etc.