DS Technologies Inc
Inpatient Facility Coding Audit Specialist
Full Time • Fully Remote - US
About US: We are a company that provides innovative, transformative IT services and solutions. We are passionate about helping our clients achieve their goals and exceed their expectations. We strive to provide the best possible experience for our clients and employees. We are committed to continuous improvement and innovation, and we are always looking for ways to improve our services and solutions. We believe in working collaboratively with our clients and employees to achieve success.
DS Technologies Inc is looking for Inpatient Facility Coding Audit Specialist role for one of our premier clients.
Job Title: Inpatient Facility Coding Audit Specialist
Location: Remote
Duration: 3 Months (Extendable based on work order extension)
Position Type: Contract
Only W2
Location: Remote
Duration: 3 Months (Extendable based on work order extension)
Position Type: Contract
Only W2
- Note: Pls share the profiles/resume for the position below with hourly rates (Onshore/Onsite Position) and work permit/GC/citizenship status and any additional details you can share on the candidates to evaluate.
Summary:
Under minimal supervision and according to established policies and procedures, conducts retrospective inpatient coding quality review audits in compliance with the coding compliance plan and established standards. Supports the review activities that drive hospital revenue including revenue cycle initiatives, internal audit plan, reimbursement audits and data quality. Key support for the coding areas and staff.
Duties and Responsibilities:
Essential Functions:
Under minimal supervision and according to established policies and procedures, conducts retrospective inpatient coding quality review audits in compliance with the coding compliance plan and established standards. Supports the review activities that drive hospital revenue including revenue cycle initiatives, internal audit plan, reimbursement audits and data quality. Key support for the coding areas and staff.
Duties and Responsibilities:
Essential Functions:
- Performs coding quality audits and reports results for accurate ICD-10-CM and ICD-10-PCS coding of the principal diagnosis, secondary diagnosis, principal and secondary procedures, present on admission (POA) indicators, and DRG assignment.
- Identifies missed query opportunities for complete and accurate revenue within the federal, state and payer specific regulations and coding policies.
- Conducts quality review of medical record abstracting and appropriate discharge disposition selection to ensure revenue integrity and data quality
- Provides analysis and trending of coding quality and opportunities; Interprets coding data to identify quality concerns, trends and root causes related to denials.
- Ensures compliance with coding standards and government regulations.
- Maintains knowledge of coding and billing requirements and regulatory changes.
Skills and Abilities Required:
- Analytical ability to gather and interpret data, to evaluate reports and track progress of initiatives and to determine methods for ensuring revenue integrity and coding compliance
- High degree of interpersonal skills to effectively communicate with internal and external customers, including physicians, clinicians, management and coding staff
- In-depth technical knowledge of ICD-10-CM/ICD-10-PCS guidelines/coding clinics, CPT coding conventions, DRG and APC assignment, medical terminology, anatomy, and disease processes.
- Proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook).
- Excellent time management skills; organized; ability to prioritize completing multiple tasks on schedule in a deadline driven environment.
- Ability to interact with internal and external customers in a professional manner.
- Ability to ramp up on a client’s environment, processes, historical context, and systems to provide support to an engagement as soon as possible.
Education, Experience & Licensure:
- 2+ years previous experience as an inpatient coding auditor
- 3+ years previous experience in coding inpatient hospital accounts
- Certified Coding Specialist (CCS) or Registered Health Information Technician/Administrator (RHIT/RHIA) credentials
This is a remote position.
Compensation: $50.00 per hour
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.