Job Closed
This listing is no longer active.
Inpatient Coding Auditor
Location
Worldwide
Posted
86 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Inpatient Coding Auditor
UASI
Role Description We are currently seeking an experienced facility inpatient Coding Auditor to join our team on a full-time basis. The Coding Auditor will perform inpatient coding audits and review services to client sites remotely from a home office. Additional responsibilities include: - Work with clients performing coding audit and/or review services on a variety of Inpatient facility record types - Identify trends based on coding audit and review findings and formulate recommendations for corrective action plans - Perform necessary research to provide to the client to support findings. Examples of this research include online searches, pulling CMS transmittals and program memorandums - Provide in-service education to clients on specific coding trends identified, as requested - Assist in the design and presentation of educational seminars to clients and staff - Work with other members of the HIM Consulting Division on Senior Level Projects such as ICD-10 assessment and analysis, development of tools to assist in the audit process, development of education for staff, develop coding test material for applicants and develop coding content for short articles with coding advice for clients Qualifications - RHIA, RHIT or CCS certification - 2-5 years’ minimum experience performing inpatient facility audits and reviews in addition to previous coding experience - Initiative to perform research to maintain a high level of knowledge and skill - Ability to remain impartial and objective in finalizing and presenting audit findings - Willingness to take ownership of responsibilities and deadlines - Strong computer skills including the ability to utilize UASI audit software and the ability to transfer files in a secure manner in compliance with HIPAA policies - Excellent verbal and written communication skills including the ability to communicate with confidence on site and via webinar/conference calls Benefits - Full benefits - Dynamic work environment - Career development - Strong leadership - Competitive salaries
Related Guides
Related Categories
Related Job Pages
More Medical Billing and Coding Jobs
• The Certified Coder is responsible for the data abstraction, evaluation and auditing of Provider assigned CPT, HCPC codes, ICD-10 CM for obstetrics. • Assigns and sequences diagnoses and procedures in accordance ICD-10 CM Official Coding Guidelines, CPT Assistant, Physician at Teaching Hospital Rules and Evaluation and Management Documentation Guidelines. • Experience with billing, collections from insurance companies and patients, insurance follow up, charge entry. • Analyze and resolve charge entry coding errors. • Familiar with revenue cycle management processes. • Ability to work with eBridge, Putty and Lyra software. • Report and analyze errors, trends, and findings. • Compose reports using Microsoft Excel and Word. • Ability to interpret regulatory and payer rules and directives concerning coding. • Ability to function in a high volume environment producing quality work. • Strong attention to detail (such as interpretation of clinical data including medical terminology and disease processes).
Role Description We're seeking a proficient medical billing clerk to handle invoice preparation and patient account management. In this position, you'll interact with patients with outstanding balances, potentially involving interactions with collection agencies. Additionally, you'll coordinate with medical insurance providers to secure payment authorization for procedures. To excel as a medical billing clerk, you'll routinely oversee patient accounts and coordinate with insurance providers to guarantee timely settlements. A capable medical billing clerk is knowledgeable about insurance protocols, adept at addressing patient inquiries calmly and effectively. - Administering patient accounts and generating invoices. - Entering patient data accurately and maintaining updated records using computer software. - Confirming the delivery of accounts to patients. - Managing administrative duties like phone calls and email correspondence. - Gathering and documenting patients' medical insurance information, and coordinating with insurance providers to authorize patient payments. - Following up with patients regarding late or seriously overdue accounts. - Adhering to hospital or clinic protocols and complying with state and federal regulations. - Enhancing job proficiency by networking and staying informed about current medical service fees for accurate billing. - Ensuring meticulous handling of patient records, accounts, and payments. - Maintaining strict confidentiality of all patient records. Qualifications - Completion of high school or equivalent (GED). - Minimum of 2 years of administrative experience within a medical or healthcare environment. - An Associate's degree in accounting, business, or economics may be preferred. - Fundamental mathematical aptitude. - Strong communication abilities to interact with medical insurance companies and clarify financial matters to both patients and staff. - Exceptional organizational skills to swiftly locate files or patient records. - Keen attention to detail to proficiently maintain patient records and ensure accurate account entries. - Capability to process cash or credit card transactions. - Competence in entering account data to generate patient statements. - Familiarity with medical coding procedures.
Role Description The Carl T. Hayden Veterans Affairs Medical Center in Phoenix, Arizona is seeking a dynamic Medical Records Technician (Clinical Documentation Improvement Specialist (CDIS-Outpatient and Inpatient)) to join our Health Information Management (HIM) team. The incumbent will be responsible for reviewing the overall quality and completeness of clinical documentation. - Reviews clinical documentation and provides education to clinical staff on both inpatient and outpatient episodes of care including admissions and discharges, observation, emergency department/urgent care, and clinic visits. - Provides education to providers on the need for accurate and complete documentation in the health record, appropriate code selection of Evaluation and Management (E/M), Current Procedural Terminology (CPT) and ICD-10 diagnosis codes, and ensuring documentation supports the codes selected to the highest degree of specificity. - Adheres to accepted coding practices, guidelines and conventions when verifying the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. - Expertly searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record. - Identifies trends and/or opportunities to improve clinical documentation. - Provides advice and guidance in relation to issues such as documentation requirements, liability issues, advance directives, informed consent, patient privacy and confidentiality, state reporting, etc. - Compiles, reviews, abstracts, analyzes and interprets medical data incidental to a variety of patient care and treatment activities. Requirements - Work Schedule: Monday-Friday 8:00 am to 4:30 pm - Recruitment Incentive (Sign-on Bonus): Not Authorized - Permanent Change of Station (Relocation Assistance): Not Authorized - Pay: Higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Benefits - 37-50 days of annual paid time off per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year). - Selected applicants may qualify for credit toward annual leave accrual, based on military service experience. - Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. - Child Care Subsidy: After 60 days of employment, full-time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. - Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA. - Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement). - Virtual: This position is telework eligible but may be required to return to the office permanently at a later date. Qualifications - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records. - Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management. - Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. - Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either Apprentice/Associate Level Certification through AHIMA or AAPC, Mastery Level Certification through AHIMA or AAPC, or Clinical Documentation Improvement Certification through AHIMA or ACDIS.
Consultant II, Revenue Cycle Coding
WipfliWipfli is one of the nation’s top 20 business and accounting consulting firms, providing clients across a range of complex industries with award-winning servi
At Wipfli, people count. At Wipfli, our people are core to everything we do-the catalyst behind our ability to create exceptional impact and extraordinary results. We believe in flexibility. We focus on relationships. We encourage each individual to follow their own path. People truly matter and they feel it. For those looking to make a difference and find a professional home, Wipfli offers a career-defining opportunity. Responsibilities: - Act as the subject matter expert for clients on medical coding standards, compliance, and best practices. - Assess client needs, identify solutions, and plan work to meet requirements. - Lead and manage multiple client engagements with minimal supervision, ensuring timelines and budgets are met or exceeded. - Deliver professional presentations and provide consultative guidance to clients for accurate and efficient coding practices. - Collaborate with cross-functional teams to achieve project goals and client deliverables. - Maintain up-to-date knowledge of industry regulations and coding updates (e.g., ICD-10, CPT, HCPCS) while ensuring quality assurance and compliance. - Mentor Associates to support career development and contribute to team growth. - Support business development through client relationship management, solution design, and assisting in the sales process to define scope of work. Qualifications: - Bachelor's Degree and two to three years of related work experience in healthcare, or equivalent experience considered in lieu of education. - Minimum of 3-5 years of hands-on medical coding experience across various specialties. - Certification in medical coding (e.g., CPC, CCS, RHIT, or equivalent). - Demonstrated ability to multitask and manage competing priorities effectively. - Strong presentation skills with experience delivering to executive-level audiences. - Proven leadership in multicultural and cross-functional environments. - Excellent written and verbal communication skills. - Proficiency in coding software and healthcare data systems. - Training, support or consulting advisory experience preferred. - Experience with compliance or professional standards associated with area of expertise desired. Alaina Lister, from our recruiting team, will be guiding you through this process. Visit her LinkedIn page to connect! #LI-AL1 #LI-Remote Additional Details: Wipfli is an equal opportunity/affirmative action employer. All candidates will receive consideration for employment without regards to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identify, veteran status, disability, or any other characteristics protected by federal, state, or local laws. Wipfli is committed to providing reasonable accommodations for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or participate in our recruiting process, please send us an email at hr@wipfli.com Wipfli values fair, transparent, and competitive compensation, considering each candidate's unique skills and experiences. The estimated base pay range for this role is $60,000 to $81,000, with offers typically not made at the maximum, allowing for future salary increases. The actual salary at the time of offer depends on business related factors like location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and relevant employment laws. Individuals may be eligible for an annual discretionary bonus, subject to participation rules and based on a variety of factors including, but not limited to, individual and Firm performance. Wipfli cares about our associates and offers a variety of benefits to support their well-being. Highlights include 8 health plan options (both HMO & PPO plans), dental and vision coverage, opportunity to enroll in HSA with potential Firm contribution and an Employee Assistance Program. Other benefits include firm-sponsored basic life and short and long-term disability coverage, a 401(k) savings plan & profit share as well as Firm matching contribution, well-being incentive, education & certification assistance, flexible time off, family care leave, parental leave, family formation benefits, cell phone reimbursement, and travel rewards. Voluntary benefit offerings include critical illness & accident insurance, hospital indemnity insurance, legal, long-term care, pet insurance, ID theft protection, and supplemental life/AD&D. Eligibility for all benefits programs is dependent on annual hours expectation, position status/level and location. "Wipfli" is the brand name under which Wipfli LLP and Wipfli Advisory LLC and its respective subsidiary entities provide professional services. Wipfli LLP and Wipfli Advisory LLC (and its respective subsidiary entities) practice in an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable law, regulations, and professional standards. Wipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. Wipfli Advisory LLC and its subsidiary entities are not licensed CPA firms.

