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Medical Coding auditor

IKS Health Coppell Full-Time
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Job Summary

 

The coding auditor is responsible to perform audits of documentation and coding of outpatient and/or inpatient services coded by coding staff. Build and maintain a professional relationship with internal and external customers. Identifies, researches, resolves and reports any issues preventing or disrupting daily workflow.

 

Key Responsibilities:

 

·         Perform preliminary and routine audits on coding staff for each client site

  • Audit coder’s work on a weekly and bi-weekly basis, and sends audit results to leadership.
  • Develop client-specific procedures document for each client based on their policies and procedures
  • Must possess a thorough knowledge of ICD-9 / ICD-10 CM coding principles and applications as they relate to Physician Coding.
  • Ensure optimal reimbursement of all cases in compliance with CMS policies and procedures and Official Coding Guidelines
  • Abide by the Standards of Ethical Coding as set forth by AHIMA and AAPC
  • Ability to effectively utilize computerized encoder and/or other reference guides
  • Ability to read, decipher and analyze all aspects of medical record documentation for accurate coding
  • Knowledge of various clinical information systems, encoders and other technologies to facilitate a successful virtual work environment while maintaining maximum communication and adhering to HIPAA security standards
  • Complete work assignments independently
  • Participate in orientation training activities and review material provided

Experience & Qualifications:

  • Minimum of 5 years' in Professional Fee for Service coding experience. Licensure/Certification: RHIA, RHIT, or CCS/CPC certification or credential (AHIMA, AAPC)
  • ICD-10 CM Certified

·         Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures.

·         Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality

·         Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.

·         Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.

·         Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.

·         Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.

·         Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Organizes or schedules other people and their tasks; Develops realistic action plans.

·         Ability to manage and influence external vendor relationships.

·         Ability to handle confidential information with tact and poise.

·         Proficiency using computers and MS Office.

·         Be results-driven within the context of a collaborative team environment.

·         Be agile and adaptable to understand the organization’s changing needs and balance needs accordingly.

Recommended skills

Registered Health Information Technician
Scheduling
Registered Health Information Administrator
Ethics
Certified Professional Coder
Certified Coding Specialist
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IKS Health is a dynamic and and growing healthcare solutions organization looking to restore healthcare to the way that it should be. We work with many of the nation’s leading healthcare institutions, alleviating some of healthcare’s greatest burdens, and supporting the best of the best in patient care as they continue to grow and innovate the way that we all receive care. IKS Health currently serves more than 17,000 physicians throughout the United States and manages more than $10 billion in revenue for our clients.   

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