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Inpatient Coding Auditor - Telecommute - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Bellevue, WA Bellevue, Washington |
About this job
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)
The Inpatient Coding Auditor provides auditing services across clients in Inpatient chart types and code sets. Reviews documentation and related coding, auditing correct assignment of CPT, ICD-10-CM/PCS, HCPCs, or Professional Evaluation and Management codes, as applicable, to verify coding and billing accuracy and that coders base code assignment in a manner consistent with relevant laws, regulations, coding and billing standards. The Inpatient Coding Auditor will provide education to coders on audit results, utilize expertise to research and respond to challenging coding questions. The Inpatient Coding Auditor will have the expertise to respond to client requests to conduct ad hoc IP coding and billing audits.
Primary Responsibilities:
- Perform coding compliance and quality audits in support of Optum360's Compliance Program and client expectations
- Analyze and interpret documentation from medical records
- Clearly document audit findings and calculate billing error rates
- Provide feedback and education as appropriate depending on findings
- Articulate audit findings appropriate for audience. Prepare written audit reports as needed summarizing audit findings and any corrective action necessary to mitigate risk
- Conduct ad hoc coding and billing audits as requested
- Assist client organization with internal or external Compliance reviews
- Educate and audit coders
- Stay abreast of relevant billing and coding guidelines concerning the current areas of audit focus
- Research, develop and present education to coders as needed
- Conduct auditor peer review audits as requested
Required Qualifications:
- 5+ years of inpatient coding experience
- Coding credential required - CCS and/or RHIT
- Minimum of 1 year of inpatient audit experience
- Familiarity with the revenue cycle as it relates to coding, auditing and billing
- Experience with various Electronic Health Records
- Graduated from a reputable ICD-10 Training program and passed the ICD-10 assessment exam
- Must maintain active coding credential
- Demonstrated ability to use a PC in a Windows environment, including MS Word and Excel
Preferred Qualifications:
- Registered Health Information Technician (RHIT)
- Bachelor’s Degree in related concentration such as Health Information Management (RHIA)
- Experience working with and educating adults; to include remote training
- Experience working remote
- Additional coding credentials or clinical credentials
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: CCS, Inpatient Coding, Coding Auditor, Telecommute, telecommuter, virtual
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