Quick overview
Job description
- Location: Remote
- Department: Revenue Cycle Management
- Schedule: Full-Time | Days | Monday-Friday, 6:00am-6:00pm Central Time| 40 hours a week
- Conduct periodic and ongoing claim audits—meeting volume targets per coder—to ensure coding accuracy, billing compliance, and sufficient clinical documentation.
- Deliver clear audit reports to key stakeholders and develop corrective action plans to resolve documentation and coding gaps.
- Analyze audit data to identify trends and high-risk compliance areas, creating and presenting targeted educational programs for coding teams.
- Assist leadership in managing and refining the system-wide coding and billing auditing and monitoring program.
Proven background in inpatient/outpatient medical coding and compliance auditing. CPC or CCS-P required with 3-5 years of direct coding experience.
Licensure / Certification / Registration
- Required Credential(s):
- None Required.
- Preferred Credential(s):
- Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA).
- Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC).
- Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA).
- Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA).
Education
- High school diploma/GED with 2 years of experience, or Associate's degree, or Technical degree required.
Work Experience
- 1 year of experience required.
Additional Preferences:
We will consider RHIA or RHIT with 5+ years of direct coding experience. 1-2 years of E/M (evaluation and management) auditing and strong knowledge of procedural coding, is highly desired.
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