Gainwell Technologies
Gainwell Technologies
Gainwell Technologies मानव सेवाओं और सार्वजनिक स्वास्थ्य के पारिस्थितिकी तंत्र के लिए डिजिटल और क्लाउड-सक्षम समाधान विकसित करती है। कंपनी सभी 50 अमेरिकी राज्यों में ग्राहकों के साथ Medicaid Enterprise के आधुनिकीकरण, डेटा विश्लेषण, प्रदाता सेवाओं और फार्मेसी समाधानों जैसी स्वास्थ्य सेवा पहलों पर काम करती है। इसका कार्य प्रौद्योगिकी को सार्वजनिक स्वास्थ्य सेवाओं की आपूर्ति, स्वास्थ्य सेवा प्रशासन और स्वास्थ्य परिणामों तथा सामुदायिक कल्याण में सुधार के प्रयासों से जोड़ता है।

Senior Associate Coding Auditor

Audit inpatient medical records and validate ICD-10, DRG, and procedure coding. Support Gainwell Technologies’ claims operations through audit documentation and coding auditor training.

विवरण

  • Audit medical records for accurate principal and secondary diagnoses, including MCCs and CCs, and procedure codes.
  • Follow official coding guidelines, coding clinic guidance, regulatory requirements, and mandates.
  • Use advanced ICD-10 coding knowledge to support audit findings.
  • Record audit decisions and supporting rationale in HMS proprietary systems.
  • Meet management’s productivity and quality standards consistently.
  • Cross-train to review multiple claim types and support client needs.
  • Help train new coding auditors through daily monitoring, mentoring, feedback, and education.
  • Keep coding knowledge current and complete required continuing education units.
  • Attend training and scheduled meetings to build knowledge of clinical policies, procedures, rules, and regulations.

आवश्यकताएँ

  • Hold an active AHIMA or AAPC professional credential for at least one year: CPC, CCS, COC, RHIA, or RHIT.
  • Have at least three years of inpatient or outpatient claims coding experience.
  • Demonstrate proficiency in medical record auditing and ICD-10-CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methods.
  • Demonstrate thorough knowledge of APR-DRG, AP-DRG, and MS-DRG.
  • Have experience in medical record coding and auditing.
  • Maintain coding certification through required continuing education units (CEUs).

लाभ

  • Benefits begin on the first day of employment.
  • Training and leadership opportunities provide a path to advancement.
  • Remote work-from-home role within the United States.

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