Facility Outpatient Auditor – ED, SDS, OBS, I&I

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

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👻 Ghost score 10%

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

📋 Description

• Perform complex retrospective analysis of medical record documentation to identify coding and billing errors and inconsistencies • Analyze audit findings to identify root causes of coding errors and prevent recurrence • Conduct second-level reviews of diagnosis, procedure, and billing codes for compliance and optimal reimbursement • Research and respond to inquiries regarding compliance, inappropriate coding, denials, and billable services • Provide technical support, feedback, and training to internal coding staff • Protect patient health and client information confidentiality • Suggest physician query opportunities and query physicians based on documentation and clinical needs • Prepare deliverables for coders • Report work time and production accurately and promptly • Provide work schedules and changes to management and appropriate staff • Maintain professional coding credentials and knowledge through education • Monitor coder progress and success • Maintain coder accuracy at a minimum of 95% and QA review percentages near 10% • Identify and resolve coding quality problems • Assist with systems designed to improve coder productivity and coding accuracy • Provide monthly and status reports • Participate in corporate training and meetings • Interpret coding guidelines and assess documentation's impact on code assignment and reimbursement • Comply with internal policies, privacy and security rules, ethical coding standards, and the Company’s Code of Ethics and Business Conduct

🎯 Requirements

• Must live in the United States • Must have a recognized coding credential from AHIMA or AAPC; RHIA or RHIT may also be considered • CPC, COC, CCS, RHIT, or RHIA credentials referenced; CPC or CCS preferred • Experience with ED, SDS, OBS, and I&I • Facility inpatient/outpatient auditing and coding experience • Minimum 2 years of experience coding and/or auditing for inpatient and outpatient facilities; preferably 3 years • Minimum 1 year of customer service support experience • Familiarity with hospital outpatient billing processes • Understanding of hospital APC assignment and associated coding and documentation • Experience with telecommuting and electronic medical record systems strongly preferred • Strong analytical skills • Strong verbal and written communication skills • Proficiency in Microsoft Office applications, including Word and Excel • Ability to navigate a variety of EMR environments and review handwritten charts • Ability to prioritize workload, meet deadlines, and maintain quality and accuracy • Ability to work with multiple and diverse clients and projects • Ability to work with minimal supervision • Regular, predictable, and punctual attendance • Initiative, resourcefulness, and attention to detail • Strong team-player skills

🏖️ Benefits

• Professional development and personal growth opportunities • Company-provided training and education • Reasonable accommodations for individuals with disabilities • Remote work arrangement