Outpatient Auditor

Position Description

Audit outpatient records to determine appropriate designation of diagnosis and procedure codes while maintaining compliance with coding guidelines and client guidelines.

Position Responsibilities

  • Perform validation audits by analyzing, evaluating, and reviewing client medical records to ensure accuracy of code assignment.
  • Complete worksheets, spreadsheets, and/or database entries based on audit findings.
  • Demonstrate proficiency in coding, including ICD-10-CM and CPT while maintaining a 95% accuracy.
  • Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client-specific policies.
  • Maintain productivity based on national standards and/or client-specific standards.
  • Conduct One-on-One Mentoring reviews and calls with coders.
  • Other duties as assigned based on company needs and client projects.

Certification/Experience

  • Knowledge and 5 to 7 years of experience in Outpatient coding required
  • Minimum 3 years of experience in Outpatient auditing preferred
  • RHIA/RHIT/CCS/CPC credential(s) preferred (at least one HIM/Coding credential required) – active and in good standing with AHIMA

 

“YES fosters a collaborative work environment through cross-training.  Our team is successful because everyone is ready and willing to help each other out whenever the need arises.”

Sarah – RHIA, CCS-P

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