Medical Coding Audit Manager
IKS Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $90,000 - $100,000 per year
About the role
- Oversee the day-to-day operations of all external coding audit processes as well as the coding auditor’s activities.
- Included functions include work distribution to all direct reports, evaluating daily productivity, tracking and monitoring audits outcomes, ensuring medical coding reviews are done in accordance with internal and external regulatory requirements.
- Tracking and monitoring each auditors progress in meeting deadlines; ensure data is reported accurately and completely; evaluate performance improvements in relation to corrective action plans; analyze data collection for patterns and trends to identify opportunities to improve documentation and coding as well as report outcomes & assessments to various internal and external stakeholders as applicable.
- Perform quality assurance reviews of coding analysts' audit findings.
- Frequently communicate effective feedback and provide decision support to reviewers on coding issues, as needed.
- Develop and implement processes and workflows around the execution of audits; maintain documentation and chart review audit results consistent with internal standard operational procedures as well as CMS and other governmental regulations and our company goals and policies.
- Additional duties as assigned.
Requirements
- Associates or Bachelor’s Degree from an accredited institution
- Certification in American Academy of Professional Coders or American Health Information Management Association RHIT/RHIA/CCS/COC/CPC
- Strong experience creating and editing documents in Microsoft Word and PowerPoint.
- Strong experience using Microsoft Excel to create, edit and manipulate data
- Work experience in a supervisory role for code auditing or in a coding setting
- Ability to plan and execute educational programs and presentations via interactive web meeting.
- Three to five years of inpatient auditing experience in ICD-9/ICD-10, DRG, CPT, APC.
- Experience with compliance audits and written reporting of findings.
- Experience with multiple EMR Systems: Epic, HPF, Cerner, Meditech, etc.
- Strong verbal and written communication skills.
- Coding credential required.
- Minimum 5 years acute care hospital coding experience required.
- Minimum of 3 years documented experience in managing coding audits strongly preferred.
- Managerial experience in healthcare related field preferred.
- Dedicated home based workspace with access to high speed cable Internet available.
Benefits
- healthcare
- 401 (k)
- paid time off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-9ICD-10DRGCPTAPCcoding auditsdata analysisquality assurancedocument editingdata manipulation
Soft Skills
communicationfeedbackdecision supportplanningexecutionsupervisoryorganizationaleducational program developmentpresentation skillsperformance evaluation
Certifications
American Academy of Professional Coders certificationRHITRHIACCSCOCCPC