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Job Details

Inpatient Auditor -Coding Specialist - Remote

Company name
Sigma Systems Inc.

Location
Irving, TX, United States

Employment Type
Contract

Industry
Healthcare, Audit

Posted on
Jun 20,2019

Valid Through
Oct 03,2019

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4809088 – Inpatient Auditor -Coding Specialist - Irving, TX – 13-week Contract

Sigma Inc. is currently looking for Inpatient Auditor -Coding Specialist to work onsite in Irving.

POSITION: Inpatient Auditor -Coding Quality Specialist

REPORTS TO: Billing Manager

EMPLOYEE STATUS: Contract

POSITION SUMMARY

Coding Audit Specialist will demonstrate high-quality knowledge and understanding of ICD-10-CM, ICD-10-PCS and/or CPT/HCPCS coding guidelines and practices for acute care reimbursement, while maintaining a 95% audit accuracy rate. The Audit Specialist will have a strong working knowledge of coding applications in addition to other applicable software, required for auditing.

Coding Audit Specialist will receive work assignments based on departmental needs, including but not limited to PEPPER, new hire and standard pre-bill, performance improvement, corrective action plan, query quality and remediation audits. Coding Audit Specialists will audit for quality in regard to POA assignment, principal and secondary diagnosis code assignment, procedural coding, modifier usage, discharge disposition verification, query opportunities and DRG and APC accuracy.

MAJOR RESPONSIBILITIES

Facilitate and complete inpatient and outpatient coding audits.

Communicates audit results both verbally and in writing in an approved, appropriate format

Assist with development and coordination of audit plans, feedback to coding staff and management to include query opportunities, documentation opportunities, accurate code assignment (ICD, CPT, HCPCS), accurate payment groupings (DRG, APC), accurate modifier assignment, accurate POA assignment, accurate discharge disposition assignment, compliance and data management.

Assist with chart sample selection for audit and coordinates with Coding Managers.

Assist with annual review of charter of targeted chart audits and samples.

Work collaboratively with Coding Integrity. Reviews audit results and performs trend analyses to identify patterns and variations in coding practices and case-mix index which require education.

Meets or exceeds an audit accuracy rate of 95%.

Ensure coding audits are appropriate and effective. Assesses effectiveness through associate evaluations.

All other work duties as assigned by Manager.

POSITION QUALIFICATIONS

A.Education/Skills

High school diploma or GED.

Completion of accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred.

Strong written and verbal communication skills.

Abel to work independently in a remote setting, with little supervision.

Experience

Five (5) or more years of Inpatient and/or Outpatient coding experience in an acute care setting.

C.Licenses, Registrations, or Certifications

Registered Health Information Administrator (RHIA) (AHIMA)

Registered Health Information Technician (RHIT) (AHIMA)

Certified Coding Specialist (CCS) (AHIMA)

Company info

Sigma Systems Inc.
Website : http://www.sigmainc.com

Company Profile
Sigma Inc. is a leading professional staffing agency, founded in 1994, with the goal of improving the quality and level of service within the staffing industry. We provide state-of-the-art service with a variety of options, such as staff augmentation, right-to-hire services, temporary employment, contractors, and contingent labor partnerships for VMS/MSPs. As a result of our success and growth over the past two decades, we’ve developed a strategy to improve the search process and thereby the quality of service for a variety of sectors. Moreover, we have helped several organizations of all sizes address complex business challenges across the US. Sigma remains focused on improving the overall delivery and quality of staffing services while continually exceeding client expectations.

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