Coding Compliance Auditor

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🕒 June 25

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Omm IT Solutions

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2006

🔒 Cybersecurity

IT Services • Cybersecurity • Cloud

Omm IT Solutions is a leading provider of IT consulting, analysis, advisory, and administrative services. They specialize in leveraging technology for digital transformation, agile development, cybersecurity, cloud solutions, network modernization, and data analytics to help government agencies and private businesses achieve their goals. With extensive experience in delivering innovative IT solutions, Omm empowers clients with tailored services that enhance operational efficiency and foster business agility.

📋 Description

• Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems • Serves as a clinical coding subject matter expert, and utilizes critical thinking analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed • Audits ICD-10 diagnostic codes and CPT-4 procedure codes outpatient, ambulatory surgery, and observation visits for the purpose of reimbursement, research and compliance with federal and state regulations • Audits complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature ensure accurate APR-DRG/SOI/ROM and POA assignment • Serves in an advisory and educator role for Coding Specialists • Communicates with various departments within the hospitals regarding coding accuracy • Complies with AHIMA standards of ethical coding and coding compliance guidelines

🎯 Requirements

• High School graduate or equivalent • Formal ICD-10-CM, ICD-10-PCS, CPT-4 training • Associates or Bachelor’s degree • Minimum of two years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma hospital or 4 years of experience with coding inpatient hospital medical records • 2-3 Years Ambulatory coding experience • Must have inpatient auditing experience • One of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC)

🏖️ Benefits

• Flexible work arrangements • Temp to hire