Fenton, Michigan
Contingent Coding Auditor Job Opening in Fenton, Michigan - The Rybar Group, Inc., a growing healthcare consulting firm, continually adds capabilities in order to serve our clients more effectively. We?re currently seeking a seasoned multi-specialty coding auditor who is available to work on an ad hoc basis. This job is ideal for retirees, part-time coding auditors and independent contractors. While we aren?t able to promise a specific number of hours of work per week, we will try to give you as much time as you want to work. Professional fees are negotiable depending on experience. AHIMA or AAPC coding certification is required. Associates degree is required, bachelor?s degree in related area, or higher preferred.
Essential Functions:
Perform coding quality audits to ensure that all codes assigned are accurate and supported by clinical documentation within the medical record, following official coding advice, including ICD-10-CM Official Guidelines, CPT® guidelines, AHA?s Coding Clinic and CPT® Assistant.
Identify coding accuracy, root causes and any declines below benchmark/facility standards. Document a detailed report of audit results and respective recommended action plans in an effective manner for the client.
Develop and maintain benchmark information based on findings from reviews.
Provide presentations to clients, based on audit findings.
Interact with clients (to include hospitals, clinicians and attorneys) regarding documentation policies, procedures and regulations, when applicable.
Research inquiries from clients and develop clear and concise advice and feedback with supporting documentation in a timely manner.
Maintain active membership in appropriate association(s). Includes activity on relevant committee(s).
Maintain departmental profitability consistent with budget.
Develop and maintain skills and knowledge relating to assigned specialty areas and the related services. Keep current on all department/service related information from journals and bulletins.
Travel onsite to clients as necessary. Includes day travel and overnight stays. Approximate 15%-25%.
Minimum Qualifications:
8-10 years of directly related professional experience preferred
Demonstrate extensive knowledge and understanding of relevant outpatient, inpatient and/or professional operations, including knowledge of the coding, charging, billing and reimbursement processes
Solid knowledge of E/M, outpatient, inpatient and/or professional coding
Must have EMR, paper or hybrid medical record knowledge
Ability to provide complete, accurate, consistent and timely reports within budget and project deadlines
Strong analytical capability, independent thinker and good decision-making skills
Proven team player able to work in a fast-paced environment
Excellent project management, organizational and interpersonal skills, ability to prioritize workload
Ability to work with senior executives, business partners, clinicians and revenue cycle staff
Excellent written and verbal communication skills, as well as presentation skills
Strong computer and technology knowledge and skills
Exemplary client satisfaction skills
Ability to process industry information to develop value-added client services
Job Type: Contract
Required education:
Associate
Required experience:
coding, charging, billind and reimbursement processes: 8 years
EMR, paper or hybrid medical record knowledge: 6 years
Required licenses or certifications:
AAPC coding certification
AHIMA coding certification
|
