„Ovation Healthcare“ teikia bendras paslaugas ir veiklos palaikymą nepriklausomoms ligoninėms bei sveikatos priežiūros sistemoms. Remdamasi daugiau nei 45 metų patirtimi, įmonė dirba vadovų konsultavimo, tiekimo grandinės valdymo, pajamų ciklo valdymo, technologijų paslaugų ir klinikinės priežiūros valdymo srityse. Jos konsultavimo ir mokymo programos padeda sveikatos priežiūros organizacijoms stiprinti finansinę ir klinikinę veiklą, kartu išlaikant pacientų priežiūrą ir bendruomenės gerovę savo darbo centre.
Remote Coding Compliance Auditor
Review healthcare records, coding accuracy, billing compliance, and documentation for ruralMED in a remote role. Conduct audits, perform medical coding, educate staff, and prepare reimbursement-focused reports.
Jungtinės Valstijos58 538 $ – 81 954 $ / metai
NuotolinisVisas etatasVyresnysis specialistasVadovasPrivaloma Kalba: anglųAuditoriusAprašymas
- Conduct internal and external coding audits, including concurrent, prospective, and retrospective reviews
- Evaluate medical records for coding, billing, documentation, and data accuracy
- Identify education, training, process improvement, risk reduction, and reimbursement optimization opportunities
- Provide direct coding and coverage for professional fees, hospital outpatient, surgical, observation, and inpatient specialties
- Extract clinical information and convert medical documentation into diagnosis and procedure codes
- Sequence codes according to established coding guidelines
- Assign ICD-10, CPT/HCPCS, and modifiers accurately and promptly for billing, reporting, and compliance
- Address client account questions with the coding operations lead and coding director
- Interpret regulatory changes and maintain current knowledge of corporate, state, and federal coding updates
- Complete monthly and quarterly staff audits while delivering feedback, education, and mentoring
- Create staff follow-up activities in collaboration with the Coding Manager
- Coach staff on assigned tasks and operational processes
- Maintain advanced knowledge of systems and billing requirements and act as an educational resource
- Conduct and support client chargemaster chart-to-charge audits
- Prepare detailed audit spreadsheets and reports covering coding, documentation, financial impact, and profitability
- Work with leadership to assess and respond to external audit findings
- Attend meetings with leadership to resolve issues and advise on new programs
- Help the coding director maintain coding vault assets and reference materials
- Create educational materials with the coding director
- Follow ruralMED policies, procedures, mission, vision, values, and applicable laws and regulations
Reikalavimai
- At least 10 years of medical coding experience; 15 years preferred
- Ability to work independently
- Strong analytical skills
- Proficiency with Microsoft Office
- Current Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) certification
- Current knowledge of hospital outpatient and professional coding
- Knowledge of anatomy, physiology, and medical terminology
- Proficiency coding professional fee, hospital outpatient, surgical, observation, and inpatient claims
- Ability to work independently in multiple electronic health record systems
- Current knowledge of ICD-10, CPT/HCPCS, modifiers, coding classification systems, billing, and regulatory and payer guidelines
Privalumai
- Comprehensive health and wellness coverage, including medical, dental, vision, life insurance, and short- and long-term disability plans
- Health savings account with employer contributions
- Flexible spending accounts for healthcare and dependent care
- Wellness platform with premium incentives
- Employee assistance support
- Optional supplemental coverage for accident, critical illness, hospital indemnity, and child disability
- Flexible paid time off programs
- Company-paid holidays
- 401(k) plan with potential discretionary employer matching
- Professional development opportunities
- Company-provided equipment