CCS Certified - Inpatient Coding Auditor

Job Summary:

Consultant Advisor - Oracle Health Jonathan Jenkins is recruiting this position.

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Our East Coast client is seeking an Inpatient Coding Auditor with a CCS Certification for a 12-16 month remote contract.

Coding Auditor Requirements

• Must have 3-5 years experience as an Inpatient Coding Auditor (Hospital side)
• CCS Certification is required (non-negotiable)
• Must be able to write and audit executive summary
• Will be required to take a Coding Auditor Assessment

Essential Tasks and Responsibilities

• Review daily Audit work queue assignments and determine the coding validity by auditing each claim's documentation, coding, and DRG Grouper.
• Audit each claim according to the coding Guidelines and reimbursement reporting requirements unique to the individual payer.
• Utilize the appropriate resources and references to justify the correct codes.
• Discuss findings with coders and escalate to the Coding Manager as necessary.
• Identify documentation deficiencies that contribute to coding errors and escalate them to the Coding Manager.
• Identify opportunities to increase Severity of Illness and Risk of Mortality.
• Establish a strong working relationship with Clinical Documentation Improvement to ensure that reimbursement and quality measures are optimized.
• Provide coding-related education to other departments as needed.
• Must be able to represent coding in meetings.
• Identify trends in coding errors and provide pertinent education and training to coding staff.

To learn more about this and other positions, contact Jonathan Jenkins at (603) 475-8168 or jonathan.jenkins@healthcareitleaders.com. Healthcare IT Leaders is a national leader in IT workforce solutions, connecting healthcare provider, payer and life sciences organizations with experienced technology talent for consulting and full-time hiring. For more information, visit us on the web at www.healthcareitleaders.com.