Inpatient Facility Auditor - iMedX, a Rapid Care Group company

iMedX is looking for an Inpatient Facility Coding Auditor.   This position requires proficiency in DRG-based auditing and a minimum of 5 years experience; at least 3 years inpatient production coding and 2 years inpatient auditing experience.  Applications are being accepted for full-time and part-time employment status.  These positions are remote and are paid on an hourly rate.

PURPOSE

The Inpatient Coding Auditor reviews client records to assure coders have assigned accurate and complete ICD-10-CM and PCS codes in accordance with the Official Guidelines for Coding and Reporting and results in the appropriate DRG assignment. 

Reports To:    VP of Revenue Cycle Management

The Inpatient Coding Auditor has significant impact on overall company strategy in that, as a service organization, the Company’s success is dependent upon the performance of our employees:

KEY RESPONSIBILITIES

1. Performs coding quality and accuracy audits on facility charts.
2. Identifies and verifies the principal and secondary diagnoses based on Official Guidelines for Coding and Reporting.
3. Identifies procedures based on UHDDS and Official Coding Guidelines and validates ICD-10-PCS codes.
4. Assigns the MS-DRG or other DRG for inpatient cases based on official guidelines.
5. Reviews facility health records for accuracy and completeness of coding and DRG assignment.
6. Provides education to coders on proper utilization of facility guidelines, Official Coding Guidelines, and Coding Clinic advice.
7. Understands and adheres to all requirements in the iMedX Corporate Compliance Program.
8. Performs coding and review in an efficient and productive manner utilizing good time management and professional work habits.  Meets productivity standards for position. 
9. Refers coding questions to manager or designee in a timely manner for feedback and coding guideline development.  Seeks assistance only after exhausting all resources.
10. Continually enhances coding skills.  Participates in coding roundtables, meetings and educational conferences to ensure coding practice is up-to-date.
11. Maintains confidentiality and safeguards the privacy of protected health information.
12. Promote the Company’s values.
13. Perform other job-related duties as may be assigned or required.

QUALIFICATIONS & EXPERIENCE

Education:

• Credentialed professional in healthcare field (RHIA, RHIT, CCS); High school diploma or GED equivalent.
• Completion of a formal coding program. Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or other AHIMA or AAPC approved coding credential.

Experience: 

• Minimum of five (5) years of coding work experience
• Two years of coding review experience and coder education experience encompassing a working knowledge of the ICD-10-CM and CPT-4 coding systems; medical terminology; anatomy and physiology; and health record content.
• Demonstrated fluency coding multiple types of inpatient records:  Acute care, Swing Bed, Inpatient Rehabilitation, Skilled Nursing Facility, Long-Term Acute Care
• PC proficiency in word processing, spreadsheet and database software 
• Communicates daily with clients and supervisor exhibiting adaptability, excellent customer service, and professional written and verbal communications skills.
• Maintains enthusiasm and a sense of urgency towards work.
• Accepts responsibility and accountability willingly.
• In all activities, uses analytical, judgment, and decision-making skills in meeting the objectives of the position with an excellent eye for detail.

Special Skills: Personal computer meeting the requirements of the position.

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