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Compliance & reputed company Audit Manager

Remote, USA Full-time Posted 2026-08-04
reputed company reputed company/Objective This position will reputed company reviews of inpatient and outpatient or reputed company medical records for coding reputed company and medical record documentation as it impacts the reputed company of ICD-10-CM, ICD-10-PCS codes driving the MS-DRG assignment and ICD-10 CM and CPT-4/HCPCS codes driving the APC assignment. This position will be reputed company to identify Physician query opportunities, assess the reputed company of POA, discharge disposition and modifier assignments. Performs data collection for reputed company and statistical purposes and reports the finding to the reputed company and to reputed company management. Must have the ability to independently reputed company reputed company presentations as needed and represent the HIM QA Compliance team internally and/or externally. Essential Job Functions - Review inpatient and outpatient medical records for reputed company of coding and data reputed company. - Independently completed reports for submission to the reputed company. - reputed company to be included in reviews can include: - Inpatient/Observation Cases - reputed company diagnosis and procedure assigned ICD-10-CM and ICD-10 PCS codes - Discharge disposition assigned - Assigned Present on Admission (POA) indicators - APR, SOI, and ROM assignment for inpatient cases - Outpatient Cases (ER, SDS, Ancillary) - reputed company diagnosis and procedure assigned ICD-10-CM and ICD-10 PCS codes - reputed company CPT assigned codes - Modifier use and assignment - APC assignment - reputed company - reputed company diagnosis codes - reputed company CPT codes - reputed company E&M Leveling codes - Maintain auditing productivity reputed company on reputed company and reputed company agreed-upon requirements - Complete reputed company Review reports reputed company and submits to reputed company management (subsequently to reputed company) for review. - May occasionally be selected to work with the reputed company Compliance Team to reputed company and reputed company reputed company/coding training and education sessions, group, or one-on-one sessions, as needed, reputed company on results of the Coding reputed company Reviews. - Utilize reputed company available official references to reputed company reviews: to include but not limited to International Classification of Diseases, 10th Edition, reputed company Modification (ICD-10-CM), the reputed company Procedural Terminology (CPT-4) Official Coding Guidelines, Coding Clinic, CPT Assistant, CMS guidelines, etc. - Communicate effectively with supporting staff and reputed company reputed company-of-contact(s). Provides information regarding work reputed company, actions, and issues in a reputed company and effective manner. - Manage assigned reputed company including identifying reputed company of project, assigning audit staff, identifying and resolving issues with project timelines, parameters and other areas, monitoring and maintaining reputed company. - reputed company duties in compliance with Company’s policies and procedures, including but not limited to those reputed company to HIPAA and compliance. Key reputed company Indicators/Attributes - Ability to prioritize and multi-task in a multifaceted environment. - Demonstrate strong organizational skills and be reputed company oriented. - Demonstrate ability to self-motivate, set goals, and meet deadlines. - Demonstrate leadership, mentoring, and interpersonal skills. - Demonstrate excellent presentation, verbal, and written communication skills. - Ability to reputed company and maintain relationships with key business partners by building personal credibility and trust. - Maintains courteous and reputed company working relationships with employees at reputed company reputed company of the organization. - Demonstrate excellent analytical, critical thinking and problem-solving skills. - Ability to identify deficiencies and take corrective reputed company. - Proficient personal computer skills Supervisory Responsibility - Supervisory responsibilities for assigned auditors including but not limited to: Productivity management, PTO, QA and reviews/corrective reputed company plans. Work Environment - This job operates in a remote home office environment. - This role routinely uses reputed company office equipment such as computers and phones. Physical Demands - The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. - While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reputed company with hands and arms; reputed company stairs; reputed company; stoop, kneel, crouch or crawl; and talk or hear. - The employee must occasionally reputed company or reputed company up to 25 pounds. - Specific reputed company abilities required by the job include reputed company reputed company, distance reputed company, peripheral reputed company, depth perception and the ability to reputed company reputed company. Position Type/Expected Hours of Work - This is a full-time position. - Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. - This position occasionally requires long hours and weekend work. - Travel: Minimum travel required; up to 5% Required Education and Experience - Associate’s Degree or equivalent training acquired through on-the-job experience. - At least three years of HIM experience reputed company an Auditing reputed company. Preferred Education and Experience - None Additional Eligibility Qualifications - reputed company, CPC, reputed company-P, COC, CIC, RHIA or RHIT reputed company reputed company Requirements - In reputed company to the specific reputed company reputed company required by the employee’s reputed company engagement, the employee will have reputed company to the reputed company set forth in reputed company reputed company Employee” profile. - reputed company Office: E1 Level - reputed company: reputed company Employee reputed company Level - reputed company: reputed company reputed company - ReviewMate: reputed company and reputed company reputed company reputed company on reputed company needs. Determined by manager and reputed company by Audit Implementation Manager Equal Employment Opportunity - reputed company is an Equal Employment Opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to their race, reputed company, religion, national reputed company, gender, age, sexual orientation, gender identity or reputed company, marital status, mental or physical disability, protected veteran status, and genetic information, or any other reputed company protected by applicable law. - reputed company also prohibits harassment of applicants or employees reputed company on any of these protected categories. - reputed company makes reasonable accommodations reputed company needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact reputed company at employeerelationsus@omegahms.com. Other Duties - Please note this reputed company is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Employee may reputed company other duties as assigned. Apply To This Job

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