REMOTE cODING AUDITOR - CHILDRENS NATIONAL HOSPITAL

JOB SUMMARY:

• The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the adequacy and accuracy of documentation in support of services billed including ICD10/CPT/HCPCS and other third party payor codes, DRG and EAPG assignments, medical necessity of the services, reimbursement overpayments and underpayments, and compliance with other documentation, coding and billing standards. The Coding Auditor applies standardized audit scoring methodology to consistently evaluate documentation and coding, and standardized audit findings methodology to report audit results.

JOB QUALIFICATIONS:

• Associate's Degree Candidates with 3 years of coding experience in lieu of the degree requirement will be considered. .
• 2 years as a Certified Coder preferably with experience in pediatric coding and/or experience performing coding audits within an academic medical center (Required)
• CCS, CIC, CPC, CPC- H, or COC. (Required) CPMA and/or CEMA/C or ability to acquire within 6 months after start date. (Required)

cODING MANAGER - LIFEBRIDGE HEALTH

JOB SUMMARY:

• Manages the daily operations of the professional services coding and data quality analysis departments to ensure the completion of coding abstraction and coding quality review for advanced clinical editing and claim review prior to submission to third party payors.

JOB REQUIREMENTS:

• Formal working knowledge; equivalent to an Associate's degree (2 years college); requires knowledge of a specialized field
• Education discipline:  Coding, Health Information Management, or other related field
• 5-7 years of experience
• CCS-P or CPC required

CANDIDATES MUST BE LOCAL!!

MULTIPLE POSITIONS - R1 COMPANY

Multiple Coding Based Positions

Managed Resources - Multiple Positions - Remote