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Fidelity Partners Services
Fidelity Partners Services
51 – 200 Employees
GovernmentHealthcareLogistics
Fidelity Partners Services supports government and commercial clients through healthcare, technology, logistics, and related services. With more than 30 years of experience, the company focuses on hands-on contract management, responsive customer service, and dependable, mission-oriented execution across complex engagements.
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Inpatient and Outpatient Coding Auditor (Remote)

Audit VA inpatient and outpatient records to verify coding accuracy, documentation, compliance, and reimbursement. Produce findings, corrective recommendations, and tailored coding education for facilities.

USUnited States
$38 / hour
RemoteFull-timeMiddleSeniorEnglish RequiredAuditor

Description

  • Conduct independent audits of inpatient and outpatient facility coding for accuracy, documentation support, compliance, and reimbursement impact
  • Assess ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, evaluation and management, modifiers, bundling, present-on-admission, procedures, and DRG assignments
  • Examine inpatient hospitalizations and outpatient encounters across clinics, urgent care, radiology, laboratories, ancillary services, observation, and ambulatory surgery
  • Evaluate diagnoses, procedure codes, documentation sufficiency, billability, and applicable coding guidance
  • Detect inaccurate, missing, duplicate, unbundled, unsupported, upcoded, downcoded, or noncompliant codes, modifiers, and data elements
  • Review electronic health record documentation and approved audit tools according to established sampling requirements
  • Record findings with authoritative support, financial impact, risk assessment, and recommended corrective actions
  • Maintain audit accuracy of at least 95 percent and participate in calibration activities
  • Support audit plans, data-collection tools, facility reports, consolidated reporting, and progress updates
  • Present preliminary findings to HIMS leadership, the COR, management, and facility personnel
  • Prepare or assist with final reports covering accuracy, documentation concerns, financial impact, process improvements, and training needs
  • Create and deliver facility-specific coding education, support exit conferences, and explain findings using authoritative guidance
  • Safeguard VA information while meeting audit schedules, reporting deadlines, training, credentialing, and access requirements

Requirements

  • U.S. citizenship and proficiency in English
  • Active RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H certification
  • At least two years of coding experience in the relevant coding specialty
  • At least three years of consulting experience reviewing records for large tertiary-care hospitals and outpatient organizations offering primary and subspecialty services
  • At least three years of experience delivering education and training
  • Working knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, DRG, modifier, bundling, reimbursement, documentation, and compliance standards
  • Successful completion of the Low Risk NACI background process, along with required VA privacy, information-security, and mandatory training
  • Ability to perform the work securely from within the United States
  • Audit accuracy of at least 95 percent
  • Ability to meet reporting deadlines and turnaround standards
  • Current resume, signed Letter of Intent, completed candidate cover page, evidence of an active accepted AHIMA or AAPC credential, and two current client references
  • OIG exclusion search results and any requested background, security, identification, privacy, training, or onboarding documentation

Benefits

  • Competitive salary and benefits package

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