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Inpatient Auditor

Inpatient Auditor

Sage Clinical RCM, LLCSaint Petersburg, FL, US
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Job Description

Job Description

Description : Position Summary :

The purpose of the Auditor position is to audit records to determine appropriate designation of diagnosis, procedure and revenue codes while maintaining compliance with coding guidelines and client guidelines. The focus of the audits is either on (1) Inpatient chart types, (2) Inpatient / Outpatient chart types, or (3) Outpatient / ProFee chart types.

Essential Functions :

  • Perform validation audits by analyzing, evaluating and reviewing client medical records to ensure accuracy of code assignment
  • Complete worksheets, spreadsheets and / or database entry based on audit findings
  • Present mentoring educational material based on audit findings
  • Demonstrate proficiency in coding classification systems ICD-10-CM, ICD-10-PCS, and / or CPT and HCPCS and maintain 95% accuracy based on chart type
  • Maintain productivity based on national standards and / or client specific standards
  • Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies

Additional Job Duties :

  • Other duties as assigned based on company needs and client projects
  • Requirements :

    Education / Experience / Additional Qualifications :

  • RHIA, RHIT, CCS, CPC or CCS-P – active and in good standing with AHIMA or AAPC
  • Seven (7) years of hospital-based, inpatient and / or outpatient coding experience or ProFee coding experience
  • Two (2) to Three (3) years of hospital-based, inpatient and / or outpatient auditing experience or ProFee auditing experience.
  • Ability to communicate effectively in writing and verbally and to present and communicate ideas and concepts in public and private
  • Proficient knowledge and understanding of computers and systems
  • Proficient use of Microsoft Word, Microsoft Excel, Microsoft Outlook, Electronic Health Record Systems (EHRs) and the Internet.
  • Ability to identify cause and effect relationships and address root causes of issues
  • Ability to establish and maintain effective and constructive working relationships with others, both internal and external to the organization
  • Ability to work independently and in a team environment
  • High detail orientation with a critical degree of accuracy with repetitive activities
  • Work Environment :

  • Full-time position normally working in an office (or home office) setting that requires regular attendance and timeliness
  • Occasional evening and week-end work may be required
  • Mental :

  • Ability to read, analyze, and interpret data, business information, and regulations
  • Ability to write business correspondence
  • Ability to present information effectively
  • Clear and conceptual thinking ability
  • Excellent judgment, troubleshooting, and problem solving
  • Ability to handle multiple priorities simultaneously
  • Ability to meet deadlines, productivity standards, and quality standards
  • Physical :

  • Routinely uses standard office equipment
  • Regularly required to sit, stand, talk, hear, use hands and fingers repetitively, and see, including close visual acuity and ability to adjust focus
  • May require long periods of sitting in front of a computer screen
  • May occasionally climb stairs, kneel, stoop, grasp, drive, and lift and / or move up to 10 pounds
  • Travel as required (approximately 5%)
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    Auditor • Saint Petersburg, FL, US

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