Job is Expired
Location: Arizona, California, District of Columbia, Georgia, Illinois, Michigan, North Carolina, Texas
Compensation: To Be Discussed
Staff Reviewed: Fri, Feb 23, 2018
Job Summary
A healthcare outsourcing solutions provider is seeking a Telecommute Inpatient Auditor.
Individual must be able to fulfill the following responsibilities:
- Performing data quality reviews on inpatient and or outpatient medical records
- Ensuring compliance with all APC/DRG mandates and outpatient reporting requirements
- Preparing quality and productivity statistics for the inpatient/outpatient coders according to facility and or Company guidelines and protocols
Qualifications for this position include:
- High School Diploma or General Education Degree Required
- Minimum of 5+ years recent auditing experience in a hospital setting
- Must have experience in regulatory issues related to Medicare and other third party payers as is relates to hospital coding and billing
- Requires RHIA, RHIT and /or CCS
- Knowledge of Official Guidelines for Coding and Reporting, High level of competence in coding APC and current with CPT guidelines
- Knowledge of MS-DRGs and reimbursement methods for Medicare, CHAMPUS, Medicaid, other payers