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Inpatient Auditor
IKS Health. Conducts clinical coding audits as defined by client contracts for audit service and internal quality assessment according to operational guidelines.
About the role
Key responsibilities & impact- Conducts clinical coding audits as defined by client contracts for audit service and internal quality assessment according to operational guidelines.
- Contribute to the ongoing development and refinement of proprietary audit tools.
- Participate in mentor/trainer activities to internal coders as required.
- Provide educational feedback and instruction to staff for coding guidelines as part of the internal quality review or external audit service projects.
- Coordinate and oversee the coder onboarding process for assigned clients.
- Manage the performance of all quality for assigned clients.
- Serve as an official resource for coding-related questions from the coding staff.
- Provide project status reports to operational leadership, as requested.
- Work directly with the coding management team to ensure the educational needs of coders are met.
- Assures internal coding audits are completed accurately and timely.
- Conducts coding audits adhering to nationally recognized coding guidelines and standards.
- Generates narrative audit summary reports as needed.
- Perform auditing for a broad spectrum of cases.
- Provide input and advice regarding educational topics based on audit trends.
- Represent company via professional meeting attendance and communication.
- Abides by the Standards of Ethical Coding as set forth by AHIMA.
- Maintain appropriate QA/QI and/or productivity logs or record entries.
Requirements
What you’ll need- RHIT, RHIA, CCS
- Minimum 5 years recent experience in auditing inpatient facility claims.
- Advanced knowledge of CPT,, HCPCS, ICD-10 coding, and CMS billing policies for facility services, E/M auditing and/or healthcare compliance DRG Validation
- Broad-based audit experience with inpatient and outpatient ICD-10-CM/PCS and CPT coding.
- Requires strong interpersonal communication skills, both verbal and written
- Requires a high level of coding accuracy and attention to detail
- Experience with using multiple encoders and systems
- Excellent oral and written communication skills – must be detailed and articulate
- Strong knowledge of Microsoft Word, Excel, PowerPoint, and Outlook is required
Benefits
Comp & perks- healthcare
- 401 (k)
- paid time off
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical coding auditsCPT codingHCPCS codingICD-10 codingCMS billing policiesE/M auditinghealthcare complianceDRG Validationcoding accuracyaudit experience
Soft Skills
interpersonal communicationattention to detailverbal communicationwritten communicationeducational feedbackmentoringproject managementresourcefulnessteam collaborationarticulation
Certifications
RHITRHIACCS