We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.
Inpatient Auditor
Location
United States
Posted
3 days ago
Salary
$36 - $40 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Inpatient Auditor
TEKsystems
Role Description Are you an experienced Inpatient Coding Auditor looking for a fully remote opportunity with a leading healthcare organization? We are seeking a highly skilled coding professional to audit complex inpatient and outpatient medical records, ensure coding accuracy and compliance, and serve as a subject matter expert for coding teams. This is a great opportunity for candidates with strong inpatient auditing experience who enjoy quality assurance, education, and collaboration with coding and clinical documentation teams. Responsibilities - Audit & Compliance - Audit inpatient, ambulatory surgery, observation, and outpatient encounters to ensure accurate reimbursement and compliance with federal and state regulations. - Review and validate ICD-10-CM, ICD-10-PCS, and CPT-4 coding assignments. - Audit complex inpatient cases including trauma, neurology, rehabilitation, critical care, and other high-acuity services. - Ensure accurate APR-DRG, SOI/ROM, and POA assignments. - Analyze clinical documentation and identify coding opportunities or discrepancies. - Coding Quality & Education - Serve as a coding subject matter expert and resource for Coding Specialists. - Conduct focused audits and quality reviews as needed. - Monitor coding accuracy and productivity metrics. - Provide coaching, education, and training to coding staff and new hires. - Research new procedures, surgical techniques, and emerging healthcare technologies. - Collaboration & Communication - Partner with Clinical Documentation Integrity (CDI) teams and providers to improve documentation quality. - Assist coding specialists with creating appropriate coding queries. - Collaborate with hospital departments regarding coding accuracy and compliance concerns. - Understand and apply concepts related to Potentially Preventable Complications (PPCs), Maryland Hospital Acquired Conditions (MHACs), Prevention Quality Indicators (PQIs), and related quality measures. - Compliance Standards - Maintain adherence to AHIMA ethical coding standards and coding compliance guidelines. - Stay current on coding regulations, payer requirements, and industry updates. Qualifications - High School Diploma or GED required. - Formal training in ICD-10-CM, ICD-10-PCS, and CPT-4 coding. - Associate's or Bachelor's degree preferred (education may be considered in lieu of some experience). Requirements - Minimum of 2 years of ICD-10-CM/ICD-10-PCS coding and abstracting experience within a Level I Trauma Hospital, OR 4 years of inpatient hospital coding experience. - 2–3 years of ambulatory/outpatient coding experience. - Experience auditing complex inpatient cases preferred. - Certifications (One Required): - Certified Coding Specialist (CCS) - Registered Health Information Technician (RHIT) - Registered Health Information Administrator (RHIA) - Certified Inpatient Coder (CIC) Benefits - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Company Description We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.
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