Be an early applicantLess than 25 applicantsPosted by Agency
Get It Recruit - Healthcare ยท 2 days ago
Quality Assurance Coding Auditor
Emigration Canyon, UT
Full-time
Remote
Mid Level
$36/hr - $38/hr
4+ years exp
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Responsibilities
Review and audit professional coding and billing from multiple departments and entities.
Report on the accuracy of procedure, E&M, ICD-10 coding and billing to ensure compliance with payer, legal, and procedural policies.
Review billing and revenue cycle processes for accuracy and process improvements.
Identify inaccurate coding practices; prepare reports of findings and meet with providers and medical office staff to provide education and training on accurate coding practices, compliance risks, and revenue cycle efficiencies.
Conduct education and training to department staff and clinical employees on correct documentation processes and coding guidelines.
Provide education based on clinical documentation requirements related to regulatory and reimbursement rules and regulations, reimbursement systems, and health insurance processing.
Meet productivity and accuracy expectations of the position.
Perform ad hoc projects and other duties as assigned.
Qualification
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Required
Certification from AHIMA or AAPC (e.g., CPC, CPC-H, CPC-P, CCS, CCS-P, RHIA, RHIT) plus 4 years of coding, clinical, or billing experience, or equivalency (one year of education can be substituted for two years of related work experience).
Strong human relations and effective communication skills.
Proficiency with medical terminology.
Ability to perform the essential functions of the job as outlined in the position description.
Preferred
At least 4 years of coding experience, including at least two surgical specialty areas.
Intricate knowledge of coding rules as outlined by CMS, AHA, and AMA.
Ability to identify areas or items not in compliance with rules, present findings clearly to diverse groups, and recommend appropriate changes to policies and procedures.
Proficiency in writing, communication, and presentation skills.
Experience and understanding of Federal regulations and payer policies with the ability to interpret the information.
Problem-solving skills with the ability to identify and analyze root causes.
Proficiency with computer software such as Microsoft Word and Excel.
Benefits
90% employer-paid medical insurance
14.2% retirement contribution
Reduced tuition
PTO and holiday pay
Company
Get It Recruit - Healthcare
Get.It Recruit | Healthcare - Helping companies of all sizes accelerate their hiring.
Founded in 2006Washington, DC
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase
