What are the responsibilities and job description for the Coding Auditor- Hospital Side position at Aston Carter?
Description:
The Hospital Coding Auditor must have a comprehensive understanding of medical terminology, coding, contractual agreements, and various payment methodologies. This position requires good time management skills and the ability to work independently.
- Review hospital charges against medical record and all applicable documentation to determine appropriate code assignments for diagnoses and services provided (CPT/HCPCS codes)
- Understand billing and coding requirements for government and commercial payers
- Abstract statistical data from the patient record and enter information following facility guidelines
- Utilize coding resources or applicable reference materials to ensure accuracy in coding for assigned services
- Assist other departments in coding and reimbursement issues
- Follow all HIPAA regulations and uphold a higher standard around privacy requirements
- Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes
- Completes all assigned work in a timely manner based on internal, client and/or payer standards
- Maintain at least a 95% accuracy rate
- Maintain productivity standards, tracking logs and deadlines
- Keep all equipment and access updated and active
Additional Skills & Qualifications:
Required Qualifications:
- Possess at least one of the following certifications - CPC, CPC-H (COC), CPMA, CIC, RHIA, RHIT and/or CCS-P certification
- Minimum 3 years of experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle activities
Ability to recognize, research and correct charging/documentation discrepancies
- Experience coding multi-specialties preferred that may include trauma, orthopedics, cardiology, interventional radiology, and neurology
- Must possess a demonstrated knowledge of clinical processes; clinical coding (CPT, HCPCS, ICD-10, revenue codes, status indicators, and modifiers), charging processes and audits
- Experience with encoder technology and electronic medical record systems.
- Technology Requirements: At least 50mbs high speed internet, private and secure access to a router, and no hotspots will be permitted.
Preferred Qualifications:
- Possess multiple of the following certifications - CPC, CPC-H (COC), CPMA, CIC, RHIA, RHIT and/or CCS-P certification
- Previous experience utilizing Epic is preferred
- Large and/or teaching facility experience preferred
- Experience coding multi-specialties preferred that may include trauma, orthopedics, cardiology, interventional radiology, and neurology
- Knowledge of CMS guidelines, Ambulatory Payment Classification, and Outpatient Prospective Payment System, reimbursement structures and prebill edits including Outpatient Coding Edits/Correct Coding Initiative edits preferred.
- Knowledge of policies, standards and methodologies pertaining to charge capture and reconciliation, reporting, documentation and general compliance preferred.
About Aston Carter:
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At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.
Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.
Salary : $60,000 - $65,000
