Auditor Remote Jobs in Oregon (US)
This page tracks remote auditor openings that are location-eligible for Oregon.
This page tracks remote auditor openings that are location-eligible for Oregon.
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Operating on the belief that healthcare is broken, Oscar Health Insurance is on a mission to reinvent and humanize the industry by combining technology, design,
Role Description The Associate, Risk Adjustment Auditor conducts internal and external quality audits. Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and identified clinical documentation improvement opportunities. The Associate, Risk Adjustment Auditor works with management to implement benchmarks, establish acceptable thresholds, and quality assurance programs. You will report into the Manager, Risk Adjustment. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities - Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts. - Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data is supported within provider encounter documentation. - Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in a timely, consistent and effective manner to ensure the appropriate changes and education are implemented. - Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards. - Conduct CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits. - Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process. - Identify and execute on the creation of clinical document improvement resources for provider education in both MA and ACA line of business. - Manage the implementation process improvements that will maximize risk adjustment factor increases. - Compliance with all applicable laws and regulations. - Other duties as assigned. Qualifications - Bachelor's degree in a relevant field of study or commensurate work experience. - Certified professional coder (CPC). - 3+ year(s) retrospective risk adjustment coding experience. - 1+ year(s) experience Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience. Bonus Points - Certified Risk Adjustment Coder (CRC) or similar certification. - Experience coding in a variety of different Electronic Medical Record (EMR) systems. Benefits - Medical, dental, and vision benefits. - 11 paid holidays. - Paid sick time. - Paid parental leave. - 401(k) plan participation. - Life and disability insurance. - Paid wellness time and reimbursements. Company Description At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Founded in 1894, UL Solutions is self-described as a global leader in applied safety science and provides high-quality product safety evaluations. For over a century, the company h
Role Description Lead Auditor - GMP Quality Audits will perform high level assessments of quality systems in a variety of manufacturing sites, farms, processing plants and/or other work related sites throughout a region or country. - Assess and report in accordance with UL, industry scheme, and client audit protocols on facilities working and/or operational conditions as it relates to established industry standard(s) for GMP, Quality Systems, Food Safety initiatives and/or client programs. - Maintain a high level of technical knowledge and play an active mentoring role with trainees, auditors and lead auditors in the field. - Participate and lead higher level audits; involving complex methodologies, advanced analysis, and comprehensive/intricate reporting. Reports will be written in English in an objective, accurate, detailed and timely manner. - Specific Regulatory Standard(s) Competency are a focus including: - OTC Drug/Pharmaceuticals: 21CFR211/210 - Nutritional Supplements: 21CFR111 - Medical/Homecare Devices: 21CFR820 - Cosmetics: ISO22716 - Complete audit agendas within 14 calendar days of the audit. - Complete reports within 4 calendar days of the audit. - Submit audit expenses in a timely manner. - Complete at least 10 days of audits per month minimum capacity. Company Description A global leader in applied safety science, UL Solutions (NYSE: ULS) transforms safety, security and sustainability challenges into opportunities for customers in more than 110 countries. - UL Solutions delivers testing, inspection and certification services, together with software products and advisory offerings, that support our customers’ product innovation and business growth. - The UL Mark serves as a recognized symbol of trust in our customers’ products and reflects an unwavering commitment to advancing our safety mission. - We help our customers innovate, launch new products and services, navigate global markets and complex supply chains, and grow sustainably and responsibly into the future. - Our science is your advantage. - From life jackets to lawnmowers, toys to televisions, beauty and wellness, vitamins and supplements, we’re involved in almost every consumer product you can imagine. - We work with some of the largest retailers in the world, performing market surveillance, auditing and inspecting the products we put in and on our bodies. - We help customers ensure that not only are their products themselves safe, but their supply chains are using ethically and sustainably sourced materials. - We build close relationships, providing advice and expertise to help them deliver safer products that meet the latest requirements and manufacture them fairly. - Join our team and make your mark on products that shape people’s lives.
Role Description The Medical Records Technician (Coder-Auditor) serves as an expert in current coding conventions and guidelines related to professional and facility coding. Auditors perform audits of encounters to identify areas of noncompliance in coding. - Work Schedule: 8:00am to 4:30pm, Monday-Friday - Compressed/Flexible: Not Authorized - Remote: These approved positions are currently designated for a mid-term extension to the return to office mandate through October 2025. While these positions may be filled as remote, the employee will be required to return to the office if the mid-term extension is not continued. Therefore, all applicants must be located within 50 miles of a VA facility. - Telework: Once returned to the office, Telework may be approved as ADHOC, depending on Supervisor approval. - Virtual: This is not a virtual position. - Functional Statement #: 10444-F - Relocation/Recruitment Incentives: Not Authorized - Permanent Change of Station (PCS): Not Authorized - PCS Appraised Value Offer (AVO): Not Authorized Major Duties include but are not limited to the following: - Reviews coding and assists coders in improving coding accuracy; provides coding guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations; initiates various reports and analyzes data. - Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC. - Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). - Applies guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients, under the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needs. - Responsible for performing audits of coded data, developing criteria, collecting data, graphing and analyzing results, creating reports, and communicating in writing and/or in person to appropriate leadership and groups. - Audits accurate and complete assignment of ICD-10-CM, ICD-10-CPT and/or ICD-10-PCS codes, MS-DRG, POA status, and discharge disposition values for health records as assigned. Audit function includes evaluation of clinical documentation to support optimal code assignment. - Maintains statistical database(s) to track the results and validate the program for identifying patterns and variations in coding practices with regular reports to the medical staff and management. - Researches complex coding issues and participates in process improvements related to coding. - Provides training and education to coding and clinical staff to improve coding accuracy. Qualifications - Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. - Basic Requirements: - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - Experience and Education: - 1. 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. - OR, - 2. 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 (e.g., courses in medical terminology, anatomy and physiology, medical coding, and introduction to health records); - OR, - 3. 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. The training program must have led to eligibility for coding certification/certification examination, and the sponsoring academic institution must have been accredited by a national U.S. Department of Education accreditor, or comparable international accrediting authority at the time the program was completed; - OR, - 4. Experience/Education Combination: Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. Requirements - Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either: - (1) Apprentice/Associate Level Certification through AHIMA or AAPC. - (2) Mastery Level Certification through AHIMA or AAPC. - (3) Clinical Documentation Improvement Certification through AHIMA or ACDIS. - English Language Proficiency: MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). Benefits - May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations - Medical Records Technician (Coder) Auditor, GS-9. - The MRT (Coder) Auditor assignment is a position above the journey level. - Experience: One year of creditable experience equivalent to the journey grade level of a MRT (Coder), GS-8. - Certification: Employees at this level must have a mastery level certification. - Demonstrated Knowledge, Skills, and Abilities: - Advanced knowledge of current coding classification systems such as ICD, CPT, and HCPCS for the subspecialty being assigned (outpatient, inpatient, outpatient and inpatient combined). - Ability to research and solve complex questions related to coding conventions and guidelines in an accurate and timely manner. - Ability to review coded data and supporting documentation to identify adherence to applicable standards, coding conventions and guidelines, and documentation requirements. - Ability to format and present audit results, identify trends, and provide guidance to improve accuracy. - Skill in interpersonal relations and conflict resolution to deal with individuals at all organizational levels. Physical Requirements - See VA Directive and Handbook 5019. - The full performance level of this vacancy is GS-9.
Bringing hope and healing to families, every day.
Role Description The Anesthesia Auditor is responsible for the systematic review of anesthesia records to ensure accuracy, completeness, and compliance with regulatory and institutional standards. Primary responsibilities include: - Comprehensive review of anesthesia records to ensure documentation accuracy and completeness. - Verify that all required provider signatures— including those of the anesthesiologist, CRNA, and supervising physician—are present on the documentation. - Maintain adherence to internal protocols, external regulatory standards— including CMS and the Joint Commission— and all applicable billing requirements; additionally, identify all state-specific requirements necessary for compliance and billing in each jurisdiction (e.g., anesthesia assistants, supervision mandates, provider scope of practice). - Detect gaps in documentation and follow up with providers to ensure completion and signature requirements are met. - Monitor, track, and report recurring errors or documentation trends to providers to support process improvement initiatives and education. - Collaborate with billing, compliance, and clinical departments to address documentation, regulatory, and process-related needs. - Ensure the secure and confidential handling of all medical records and patient information in accordance with HIPAA and organizational policies. - Assist with other audit and monitoring duties as assigned, including: - Conduct detailed Hospital, Ambulatory Surgery Center, and Outpatient Clinic audits to ensure all charges are captured, supported by orders, and appropriately documented; additionally, review audit findings with the appropriate representative. - Execute special audits on an ongoing basis, summarizing results for executive leadership and coordinating education and training efforts as needed. - Analyze billing and compliance issues through the lens of federal and state healthcare regulations, as well as payer guidelines to ensure regulatory compliance. - Deliver targeted education on billing and compliance matters identified during reviews or upon request from facilities, administration, and management, employing webinars, presentations, bulletins, newsletters, SHINE modules, and other appropriate tools. This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications - Minimum of 5 years’ experience in medical chart review, medical auditing, or clinical documentation. - Functional knowledge of DRG and CPT coding systems. - Proficiency with Epic EMR. - Bachelor's Degree in Nursing, HIM, or related healthcare field - in lieu of degree, equivalent experience of at least 5 years in auditing and monitoring may be substituted for a degree. - Prior experience with anesthesia services or perioperative documentation (preferred). - Familiarity with regulatory requirements (e.g., CMS, the Joint Commission, ASA guidelines) (preferred). - RHIA or RHIT certification (preferred). Benefits - All employees are eligible for medical coverage on their first day. - Upon hire, all employees are eligible for a 403(b) and Roth 403(b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. - Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability, and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. - Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance, and much more! - Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Company Description Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.
Role Description We are seeking a Field Auditor-Wholesale to join our Risk Management Team. Up to 75% travel throughout the Northeast is required and a company car is provided. This role is remote but the ideal candidate will be based in PA, MA or NY and will travel to dealers. - Conduct wholesale inventory floor plan audits and cash audits at assigned dealers. - Conduct inventory verification and reporting on shortages. - Educate dealers and their organization on NFC policies, procedures and practices. - Prepare and maintain various records, reports and files pertaining to territorial activities. - Assist in open account resolution and missing title reconciliation as needed. - Conduct training meetings with dealer personnel on new Navistar programs and policies. - Attend dealer events and outings as assigned. - First point of contact for dealer questions and resolution of issues. - Build dealer loyalty in assigned territory. Qualifications - Bachelor's degree and at least 1 year of risk management or insurance experience - OR Master's degree and no experience - OR at least 3 years of risk management or insurance experience Requirements - Qualified candidates, excluding current employees, must be legally authorized on an unrestricted basis (US Citizen, Legal Permanent Resident, Refugee or Asylee) to be employed in the United States. - We do not anticipate providing employment related work sponsorship for this position (e.g., H-1B status). Desired Skills - Positive Attitude, Ethics, and Values which support our company’s values, and a healthy, high performance culture. - Knowledge of credit terms is a plus. - Knowledge of wholesale floor plan process is a plus. - Knowledge of NFC Wholesale Credit and Wholesale Operations policies and procedures is a plus. - Strong verbal and written communication skills. - Proficient in MS Outlook, Excel, Word and PowerPoint. - Good organizational and time management skills. - Ability to travel up to 75% throughout the Northeast. Benefits - This position offers competitive market-based compensation, along with a comprehensive benefits package designed to support employee wellbeing. - The expected salary offered for this position will fall within the stated range, with the final offer based on the candidates' applicable skills, knowledge, and experience.
We make sense of data to drive your business forward. #MakeSenseofData #DriveYourBusinessForward #PartnerYourWay
• Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement. • Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. • Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. • Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. • Meet or exceed EXL’s quality and productivity standards, including strong uphold rates for appeals. • Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. • Adhere to HIPAA and EXL policies and procedures to ensure data security and regulatory compliance.
Role Description We are looking for a Telecommunications Regulatory Auditor to act as the regulatory control layer for a large-scale network consolidation program at a US-based Tier-2 Telco. The role serves as the final quality gate before designs reach the CAB, ensuring that all engineering blueprints fully comply with global regulatory frameworks and introduce no legal or compliance risk. This position is ideal for professionals who excel at auditing technical designs, identifying regulatory gaps, and enforcing strict compliance standards across complex telecom environments. - Define telecom compliance requirements (FCC, STIR/SHAKEN, e911) to guide Architects and engineering teams throughout the design lifecycle. - Enforce data sovereignty requirements by validating routing paths and ensuring cross-border data flows comply with frameworks such as GDPR, UK IPA, and lawful intercept regulations. - Validate life-safety routing by ensuring that voice architecture templates meet requirements for e911, Kari’s Law, and Ray Baum’s Act. - Validate compliance through a traceability matrix, mapping regulatory rules to architecture documentation and ensuring audit readiness. - Maintain a detailed audit trail by documenting the regulatory justification for approvals, recommendations, and identified compliance gaps to support post-migration external audits. - Act as the subject matter expert bridging legal frameworks and technical delivery teams, ensuring regulatory requirements are clearly understood and consistently implemented. Qualifications - 7+ years of experience in IT compliance, technical auditing, or information security governance within the telecommunications domain. - Strong practical knowledge of global telecom regulatory frameworks, including FCC, CALEA, GDPR, UK IPA, and STIR/SHAKEN. - Proven experience conducting manual, checklist-driven technical audits and regulatory validation activities without reliance on external generative AI tools. - Strong capability to translate legal and regulatory requirements into clear technical audit criteria; focus remains on governance rather than engineering design. - Experience collaborating with architecture, legal, and delivery stakeholders in highly regulated telecom environments. Benefits - Culture of Relentless Performance: join an unstoppable technology development team with a 99% project success rate and more than 30% year-over-year revenue growth. - Competitive Pay and Benefits: enjoy a comprehensive compensation and benefits package, including health insurance, and a relocation program. - Work From Anywhere Culture: make the most of the flexibility that comes with remote work. - Growth Mindset: reap the benefits of a range of professional development opportunities, including certification programs, mentorship and talent investment programs, internal mobility and internship opportunities. - Global Impact: collaborate on impactful projects for top global clients and shape the future of industries. - Welcoming Multicultural Environment: be a part of a dynamic, global team and thrive in an inclusive and supportive work environment with open communication and regular team-building company social events. - Social Sustainability Values: join our sustainable business practices focused on five pillars, including IT education, community empowerment, fair operating practices, environmental sustainability, and gender equality.
Role Description The Auditor will have a sound understanding and knowledge of applicable ICH Good Clinical Practice (GCP) guidelines, applicable local and country clinical research regulations for the conduct of clinical research. Will conduct audits that will impact quality across Velocity to include primarily Investigator Site Audits and assisting with other quality initiatives or audits. Will be responsible for building and maintaining effective working relationships with internal customers throughout the company. This role is highly visible in the company. Responsibilities - Plan, execute, report routine or directed GCP audits (e.g., investigator site, vendor, internal process, document) using a risk-based approach or as identified by Velocity Quality Leadership. - Maintain significant knowledge of clinical research regulatory requirements and ICH GCP principles. - Lead and/or assist with audit activities including investigator site audits, key document audits, sponsor audits. - Follow audit activities from plan through audit closure based on experience and a sound understanding of regulatory requirements related to clinical trials, including ICH Good Clinical Practice (GCP) guidance. - Work with internal customers to provide guidance on SOP/regulatory requirements. - Support (or facilitate, as needed) onsite or remotely and report outcomes of sponsor/CRO audits of Velocity sites. - Work within the Quality function to improve quality across Velocity. - Assist in the creation, review, revision, and management of procedural documents. - Identify and escalate issues, complaints, non-conformances, etc. - Evaluate internal compliance with Velocity procedures, policies, programs, initiatives, GCP, and applicable regulations. - Provide support for CAPA process, investigations, nonconformances and inspections and external audits. May be required to lead less complex CAPA investigations as applicable. - Assist with oversight of contract auditor assignments, as assigned. - Other duties as assigned. Qualifications - Excellent interpersonal, communication (verbal and written), and collaboration skills when interacting with senior management, peers, sponsors/CROs and clinical research sites. - Comprehensive knowledge, understanding and experience with GCPs and (inter)national and local regulations and laws related to clinical trials and clinical research. - Work with integrity, have a commitment to quality, be flexible, and have the ability to think critically and be creative. - Recognize and manage confidential information appropriately. - Ability to work independently or as part of a team to plan, organize, prioritize, and follow up on multiple requests, tasks/objectives, and deliverables. - Ability to lead or support sponsor audits and regulatory inspections. - Must be detail-oriented yet able to maintain a “big picture” or overview of the situation, project, business, etc. - Practical ability in applying proactive quality approaches for clinical trials. - Proficient in the use of computers and computer systems including Microsoft Office, e.g., Word, Excel, PowerPoint, Teams; experience with Excel to identify data trends, develop charts/graphs, etc. is preferred. - Ability to work with clinical study or quality electronic systems (e.g., QMS, EDC, electronic source, e-regulatory). - Ability to travel for work related purposes (Up to 20% travel, as needed, for audits, project team meetings, client presentations and other professional meetings/conferences as needed). Requirements - BS/BA in scientific or healthcare-related field from an accredited college or university. - Require a minimum of at least 3 years of experience as a GCP Auditor in clinical QA. - Conducting GCP clinical investigator site audits and vendor audits. - Experience with internal audits is a plus. - Employing risk identification and mitigation strategies related to identified and potential compliance issues, or a combination of education, training, and experience to meet the position requirements and responsibilities. - Certification encouraged but not required (e.g., SQA RQAP-GCP, ASQ Certified Quality Auditor). Company Description
Role Description This position is located in the Health Information Management (HIM) section at the Sioux Falls VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. - Temporarily eligible for Remote work within 50 miles of a VA Medical Center. - May fall under the Presidential Memorandum titled "Return to In-Person Work" which will require you to go into the office if the exemption is not approved at the next review. - Total Rewards of an Allied Health Professional. Duties may include but are not limited to the following: - Complete and accurate diagnostic and procedural coded data are necessary for research, epidemiology, outcomes and statistical analysis, financial and strategic planning, reimbursement, evaluation of quality of care, and communication to support the patient's treatment. - Diagnoses and procedures will be coded utilizing the current edition of International Classification of Diseases (ICD) Clinical Modification (CM) and Procedure Coding System (PCS), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). - Apply comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. - Reviews assigned codes from the current version of several coding systems to include current versions of ICD, CPT, and/or HCPCS. - Adheres to accepted coding practices, guidelines and conventions when validating the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. - Applies guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation (VERA) program. - Assist facility staff with documentation requirements to completely and accurately reflect the patient care provided. - Provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing. - Directly consults with the professional staff for clarification of conflicting or ambiguous clinical data. - Reviews, analyzes and reports performance monitors for inpatient, outpatient, VERA and Non-VA Medical Care (purchased care) coding. - Reviews coding and assists coders in improving coding accuracy; provides coding guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations. - Facilitates improved overall quality, completeness, and accuracy of coded data. - Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes. - Provides ongoing education to all members of the patient care team. - As a technical expert in health information coding matters, provides advice and guidance on documentation and coding requirements. - Maintains current knowledge to ensure that coding and documentation meets regulatory guidelines, audit standards, and results in appropriate data capture and reimbursement. - Analyzes audit results and prepares summary feedback for individual coders and/or clinicians, making recommendations for improvement. - Provides coding consultation to coders and/or clinicians related to coding and documentation questions. Work Schedule - Monday-Friday 8:00am to 4:30pm Pay - Competitive salary and regular salary increases Paid Time Off - 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 prior work experience or 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). Education Requirements Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. Qualifications - One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records; OR - 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. - Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. Certification - Must have either Apprentice/Associate Level Certification through AHIMA or AAPC. - Mastery Level Certification through AHIMA or AAPC. - Clinical Documentation Improvement Certification through AHIMA or ACDIS. Physical Requirements See VA Directive and Handbook 5019, Employee Occupational Health Service. English Language Proficiency MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). Grade Determinations - Medical Records Technician (Coder) Auditor, GS-9. - One year of creditable experience equivalent to the journey grade level of a MRT (Coder) (GS-8). - Employees at this level must have a mastery level certification.
More than a century of patient-centered care. At Memorial Hermann, we are all about advancing health.
Role Description Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Qualifications - High school diploma or GED, required - Inpatient: - Registered Health Information Technician (RHIT) - Registered Health Information Administrator (RHIA) - Certified Coding Associate (CCA) - Certified Coding Specialist (CCS) - Certified Inpatient Coder (CIC) - Outpatient: - Registered Health Information Technician (RHIT) - Registered Health Information Administrator (RHIA) - Four (4) years of relevant hospital coding or auditing experience required - Experience coding/auditing in a level 1 trauma facility/academic teaching facility strongly preferred - Extensive knowledge of ICD-10-CM and CPT coding principles and guidelines - Extensive knowledge of 3M Coding applications and resolving coding edits - Working knowledge of reimbursement systems and regulations and policies pertaining to documentation, coding, and billing - Knowledge of database applications and spreadsheet design - Effective oral and written communication skills Requirements - Conducts regular coding audits and coordinates ongoing monitoring of coding accuracy, providing continuous feedback to coding staff - Develops and coordinates educational sessions to all coding staff regarding documentation and accurate coding - Serves as a resource for coding staff on organization-wide coding and documentation standards and guidelines - Designs audit tools to monitor the accuracy of clinical coding - Keeps abreast of coding guidelines and reimbursement reporting requirements - Conducts trend analyses to identify patterns and variations in coding practices - Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines - Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service - Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff - Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences - Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues - Other duties as assigned Company Description At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency.
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