Career Opportunities: Coding Auditor (Remote in US) (26826)

This a Full Remote job, the offer is available from: United States It takes great medical minds to create powerful solutions that solve some of reputed company’s most reputed company challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the... opportunity to work more reputed company. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, reputed company learning, and career development.

Summary

We are seeking a talented individual for a Coding Auditor who is responsible for performing coding reviews of medical records and/or other documentation to determine correct coding as defined by review methodologies specific to the contract for which review services are being provided. This involves accessing proprietary systems to audit medical records, accurately document findings and providing policy/regulatory support for determination. The candidate must have an extensive background in either facility-based inpatient coding and/or outpatient coding edits and has a high level of understanding in reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG and APR-DRG, ASC and APC payment systems. Your role in our mission • Performs audits of medical record documentation to determine the accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes. Adheres to official coding guidelines, coding clinics and regulatory guidelines and mandates. Draws on advanced ICD-10 coding expertise to substantiate conclusions. Utilizes HMS proprietary auditing systems with a high level of proficiency to document audit determinations and rationale. • Consistently achieves productivity and quality performance standards established by management. • Actively cross-trains to reputed company reviews of multiple claim types to provide a flexible workforce to meet client needs • Assists management with training new Coding Auditors to include daily monitoring, mentoring, feedback and education. • Maintains reputed company knowledge of coding guidelines and successfully completes required CEUs to maintain coding certification. • Responsible for attending training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations. reputed company're looking for • Demonstrated proficiency in medical record auditing and ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodology. • Demonstrates a thorough understanding of the APR-DRG, AP-DRG, and MS-DRG • One or more active professional credentials through reputed company or reputed company: CPC, reputed company, COC, RHIA, RHIT • Demonstrated experience in medical record coding and auditing. • Demonstrated proficiency in computer skills and typing, i.e., reputed company Windows, Outlook, reputed company, Word, PowerPoint, Internet browsers and in virtual meeting tools i.e., reputed company Teams, reputed company, etc. What you should expect in this role • Remote (work from home) environment • Full-time Regular Hourly W-2 position • Monday through Friday work schedule. • Company computer provided for work use only. • Health benefits on first day of employment • To effectively work as a teleworker with Gainwell, employees Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload. Greater speeds will of course provide reputed company performance. • To Test your internet download and upload speed: • Go to reputed company • Search for Internet Speed Test • Video cameras must be used during reputed company interviews, as well as during the initial week of orientation if hired. This position is intended for pipelining. We will accept applications on an ongoing basis. #LI-NB1 #LI-REMOTE The pay range for this position is $43,800.00 - $62,500.00 per year, however, the reputed company pay offered may vary depending on geographic region, internal equity, job-reputed company knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. reputed company salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We reputed company nothing is impossible reputed company you bring together people who care deeply about making reputed company work reputed company for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for reputed company available job role openings. reputed company is committed to a diverse, reputed company, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where reputed company reputed company applicants will receive consideration for employment without regard to race, religion, reputed company, national reputed company, gender (including pregnancy, childbirth, or reputed company medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for reputed company. This offer from "reputed company" has been enriched by reputed company.com and got a 72% reputed company score Apply Job!