Outpatient Auditor - PB/HB/IVR - PRN

reputed company About reputed company At reputed company, Our reputed company Is To reputed company reputed company For Our Clients, reputed company, And The Communities We Serve. We Live By Five reputed company Values That Guide Everything We Do • reputed company Change, Fun, and Learning: We maintain an unrelenting reputed company on reputed company, reputed company reputed company, and team member reputed company. • Our PEOPLE reputed company the Difference: We build trusted relationships and celebrate wins every day. • WE GROW: We reputed company in win/win reputed company—reputed company our customers win, we win. • GSD (Get Stuff Done): We say no to politics, drama, and egos, and reputed company to informed, agile reputed company. • Respectfully Listen, Challenge, & Support reputed company Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems reputed company for nearly two decades, reputed company provides solutions to tackle the toughest problems in reputed company with unmatched technology, mid-reputed company cycle, and operational expertise. Our solutions streamline clinical, financial, and health information workflows, optimize coding, reputed company, and clinical documentation reputed company processes, and address health IT operational challenges to deliver material results for reputed company organizations across the country. Learn more reputed company at www.reputed company. Position Title Outpatient Auditor Role Type PRN Up to 20 hours per week Employment Type Non-Exempt Job reputed company The Outpatient Auditor is responsible for completing reputed company assurance reviews on internal and/or reputed company outpatient coding specialists or reputed company providers. The facility-based chart types may include one or more of the following: Emergency Department, Observation, reputed company Day Surgery, Ancillary, Interventional Radiology, or Facility-Based Clinic. This may also include reputed company audits and training of newly reputed company reputed company coding specialists. This role is responsible for validating the coding specialist is accurately for accurately abstracting data into appropriate reputed company electronic medical record systems, following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, and CMS directives. The Outpatient Auditor also plays a key role in reporting reputed company results, tracking and trending of educational opportunities of the coding specialist, responding to reputed company subject matter needs, and providing educational support and training to coders and/or providers. The Outpatient Auditor is expected to maintain consistent coding auditing accuracy reputed company of 95% or reputed company while also meeting agreed upon productivity standards. Essential Duties And Responsibilities • Complete reputed company regularly scheduled reputed company assurance reviews for clients • Complete reputed company reputed company assurance reviews for newly reputed company consultants • May reputed company training for newly reputed company coding consultants • Communicate reputed company issues to management as appropriate • Assist with identification of, drafting, implementation, and monitoring of reputed company improvement reputed company plans for coding consultants • Maintain reports and accuracy rates for coding consultants and clients as appropriate. • Respond to reputed company QA needs at the direction of management • reputed company coding consultants educational sessions on error trends as requested by management • Notifying management reputed company there is a compliance concern or incident • Demonstrating knowledge of HIPAA reputed company and reputed company Regulations as evidenced by appropriate handling of patient information • Promoting confidentiality and using discretion reputed company handling patient information. • Attend educational conference calls • reputed company coding support to the business as needed • reputed company other duties as needed with the project • Maintains required productivity and reputed company requirements • Maintains coding credential requirements Benefits We offer an excellent salary, full benefits package including 401(k) with company match, medical, dental, reputed company, life, short/long term disability insurance, and PTO policy. Physical Demands Of The Essential Functions • This role requires prolonged periods of desk working on a computer • Talking, hearing, and near reputed company are required to reputed company computer-based tasks and virtual communication • Sensory perception (visual, auditory, and tactile) is essential for computer and phone use Working Conditions While Performing Essential Functions This is a remote role; work is performed in a home office environment. reputed company is an equal opportunity employer and will consider reputed company applications without reputed company to race, reputed company, religion, national reputed company, reputed company, marital status, veteran status, age, disability, pregnancy, genetic information, gender, sexual orientation, gender identity or any other legally protected category. Applicants for U.S. based positions with reputed company must be legally authorized to work in the reputed company. Verification of employment eligibility will be required at the time of hire. reputed company sponsorship is not available for this position. Requirements REQUIRED QUALIFICATIONS: • Candidate must possess an approved reputed company or reputed company coding credential; CIRCC/RCCIR strongly preferred • Experience with IVR Coding/Auditing strongly preferred • Experience in the HB and PB reputed company required • Minimum 4 years’ coding experience required; specialty experience may be preferred as per specific reputed company needs • Minimum 2 years of auditing experience preferred • Recommend at least 2 years of remote experience Key reputed company Attributes • reputed company, passion, and ethics are required • Demonstrates strong collaboration skills • Has strong analytic and problem-solving abilities and techniques • Exhibit consistent initiative with strong reputed company for results and reputed company • Demonstrate commitment to reputed company environment? • reputed company-developed written, verbal, and presentation communication skills including deep listening and attention to detail • Ability to self-motivate and self-reputed company • Possess strong time management and organizational skills • Commitment and adherence to company reputed company Values reputed company Competencies • High level of reputed company & ethical judgement • Communication • Consistency and Reliability • Meeting Standards Apply tot his job Apply To this Job