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Acute Hospital Outpatient Compliance Auditor - Remote

Posted 1 week ago

Overview

The Acute Hospital Outpatient Compliance Auditor is responsible for auditing hospital outpatient encounters to ensure appropriate reimbursement and compliance with federal and state regulations.

In Short

  • Audit outpatient encounters for compliance and reimbursement.
  • Act as a clinical coding subject matter expert.
  • Analyze documentation issues with clinical staff.
  • Provide training and support to coding specialists.
  • Ensure adherence to coding standards and guidelines.
  • Communicate coding accuracy with various hospital departments.
  • Conduct specialized focused audits as necessary.
  • Monitor coding quality and productivity.
  • Research new surgical procedures and technologies.
  • Support and comply with the organization's mission and values.

Requirements

  • High School diploma or equivalent.
  • Formal training in ICD-10-CM, ICD-10-PCS, CPT-4.
  • Minimum of two years coding experience in a Level 1 Trauma hospital.
  • Certification such as CCS, RHIT, RHIA, or CIC.
  • Strong analytical and organizational skills.
  • Ability to prioritize and meet deadlines under pressure.
  • Excellent customer service skills.
  • Proficient in basic medical terminology.
  • Computer proficiency and typing ability.
  • Ability to work with minimal supervision.

Benefits

  • Opportunities for professional growth.
  • Supportive work environment.
  • Clinical variety in job responsibilities.
  • Access to training and resources.
  • Engagement with a leading healthcare system.

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