What are the responsibilities and job description for the CODING AUDITOR - HEALTH INFORMATION MANAGEMENT - Remote | WFH position at Get It Recruit - Healthcare?
We are seeking a skilled and detail-oriented Coding Auditor to join our Health Information Management team. In this role, you will play a crucial part in ensuring accurate and compliant coding practices to support efficient reimbursement and resolution of insurance denials. If you're passionate about healthcare coding and possess strong analytical skills, we encourage you to apply.
Responsibilities
Review and address appeals, ensuring the necessary information is provided for insurance denials to be resolved promptly and accurately.
Participate in mandated Medical Record Review processes to maintain coding quality and accuracy.
Apply and interpret American Hospital Association (AHA) Official Coding Guidelines to ensure appropriate coding of principal and secondary diagnoses and procedures.
Maintain knowledge of discharge disposition and reimbursement outcomes.
Adhere to Health Information Management (HIM) Coding policies and The Joint Commission (TJC) guidelines to continually enhance coding quality.
Maintain coding certification and stay updated on current ICD-10 coding guidelines and regulatory changes.
Participate in performance improvement initiatives as assigned.
Job Qualifications
Coding Auditor - Health Information Management
Education
Proficiency in the English language (reading, writing, and speaking); Bachelor's Degree in Health Information Management preferred.
Experience
Minimum of 10 years of progressive experience in healthcare coding, with at least 2 years of auditing experience in facility or professional services coding.
Comprehensive experience in coding across all patient types and knowledge of compliance criteria for various facility types is required.
Certifications
AAPC, AHIMA, or Certified Coding credential (excluding apprenticeship classification).
If you meet these qualifications and are enthusiastic about contributing to our team, we look forward to receiving your application. Join us in making a difference in healthcare coding and compliance!
Employment Type: Full-Time
Responsibilities
Review and address appeals, ensuring the necessary information is provided for insurance denials to be resolved promptly and accurately.
Participate in mandated Medical Record Review processes to maintain coding quality and accuracy.
Apply and interpret American Hospital Association (AHA) Official Coding Guidelines to ensure appropriate coding of principal and secondary diagnoses and procedures.
Maintain knowledge of discharge disposition and reimbursement outcomes.
Adhere to Health Information Management (HIM) Coding policies and The Joint Commission (TJC) guidelines to continually enhance coding quality.
Maintain coding certification and stay updated on current ICD-10 coding guidelines and regulatory changes.
Participate in performance improvement initiatives as assigned.
Job Qualifications
Coding Auditor - Health Information Management
Education
Proficiency in the English language (reading, writing, and speaking); Bachelor's Degree in Health Information Management preferred.
Experience
Minimum of 10 years of progressive experience in healthcare coding, with at least 2 years of auditing experience in facility or professional services coding.
Comprehensive experience in coding across all patient types and knowledge of compliance criteria for various facility types is required.
Certifications
AAPC, AHIMA, or Certified Coding credential (excluding apprenticeship classification).
If you meet these qualifications and are enthusiastic about contributing to our team, we look forward to receiving your application. Join us in making a difference in healthcare coding and compliance!
Employment Type: Full-Time
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