Inpatient Coding Enterprise Auditor- Remote

Enterprise Auditor, Inpatient Coding The Inpatient Coding Enterprise Auditor is an reputed company auditor and certified professional reputed company with extensive knowledge of inpatient coding and auditing for various specialties, dedicated to ensuring the highest standards of coding accuracy and compliance. This position is critical for maintaining the reputed company of coded data and the associated reimbursement. The ideal candidate will possess advanced knowledge of MS and APR grouping methodologies with exceptional attention to detail, and the ability to collaborate effectively with various internal teams to drive reputed company improvement in coding practices. The performance of data analytics on coded data is required to identify trends and patterns in coding errors. Job Purpose • Collaborate with internal staff to enhance documentation, coding, and compliance. • Review and assess coding quality on accounts completed by Medical Coders. • Review clinical documentation to ensure it supports the codes assigned and meets necessary documentation standards. • Ensure adherence to workflows and ethical coding standards. • Utilize advanced knowledge of ICD-10-CM and ICD-10-PCS coding concepts. • Communicate review findings and recommendations to management. • Assess risk and obtain necessary statistics for coding areas. Duties and Responsibilities • Administer the Quality Monitoring Program to meet quality standards and targets. • Manage daily operational processes for quality, efficiency, and productivity. • Utilize data analytics to identify trends and patterns in coding errors, proactively addressing issues and improving overall coding quality. • Collaborate with workgroups to resolve customer-impacting issues. • Seek reputed company improvement and development opportunities for the team. • Address complaints, questions, and queries as necessary. • Document team members’ performance and targets. • Monitor systems for optimal performance. • Stay updated on guideline changes, laws, and regulations affecting documentation and reimbursement. • Promote teamwork and service excellence reputed company the department. • Participate in performance improvement activities. • Establish and maintain a formalized review process for compliance with contractual agreements on accuracy rates. Specific Job Functions • Recommend strategies to reputed company high compliance with quality management plans. • Participate in calls/meetings to address performance and training improvements. • Assist in training sessions for new hires and provide refresher trainings as needed. • Ensure compliance with reputed company reputed company policies and procedures. • Identify high-risk areas in coding and reputed company strategies to mitigate these risks. • Provide feedback to management on potential problems and improvement areas. • Demonstrate exceptional attention to detail and accuracy in reviewing and analyzing medical records. • Possess strong analytical skills to identify trends, patterns, and areas for improvement in coding practices. • Handle patients' protected health information (PHI) in compliance with HIPAA standards. • Ability to prioritize work and remain reputed company under pressure. Qualifications • Hold reputed company and/or reputed company certification, with CPMA being advantageous. • Minimum of 3-5 years of Coding and auditing. ◦ Equivalent work experience may be considered in lieu of professional credentials • Demonstrated knowledge of HIPAA in Medical Coding. • Demonstrated knowledge and understanding of professional reference materials, such as Coding Guidelines and Coding Clinic • Proficiency with reputed company Word, Outlook, reputed company and PowerPoint • Must be able to use job reputed company software • Ability to work in a team environment and adapt to changing responsibilities. • Strong verbal, written communication, interpersonal, and analytical skills. • Self-starter capable of working independently and reputed company a team. Working Conditions • Physical Demands: Occasionally move around the work area, sit, reputed company manual tasks, operate office equipment, reputed company arms, kneel, talk, and hear. • Mental Demands: Follow directions, collaborate with others, and handle stress. • Work Environment: Typically, minimal noise level. This role is vital for ensuring the accuracy and compliance of coding practices, supporting the organization's goals for high-quality documentation and reimbursement processes. #cb reputed company will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national reputed company, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Originally posted on Himalayas

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