Telecommute Inpatient Auditor

Job ID: Available for Members

Location: Arizona, California, District of Columbia, Georgia, Illinois, Michigan, North Carolina, Texas

Compensation: To Be Discussed

Posted: Friday, February 23, 2018

Job Category: Healthcare, Medical Coding, Quality Assurance

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Employer Type: Staffing Agency

Career Level: Experienced

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