REMOTE - Coding Auditor

REMOTE

• Coding Auditor Job DescriptionInsight Global is seeking an Auditor to accurately audit hospital inpatient, ambulatory surgery, observation, and outpatient encounters to ensure appropriate reimbursement, research accuracy, and compliance with federal and state regulations using ICD-10-CM/PCS and CPT-4 coding systems.

Responsibilities include, but are not limited to

• Audit ICD-10 diagnostic codes and CPT-4 procedure codes for outpatient, ambulatory surgery, and observation encounters
• Audit complex inpatient cases including trauma, rehab, neurology, and critical care
• Ensure accurate APR-DRG, SOI/ROM, and POA assignment
• Serve as a clinical coding subject matter expert and resource to coding specialists
• Provide education, training, and guidance to coding staff
• Monitor coding quality accuracy and productivity rates
• Conduct specialized and focused audits as needed
• Collaborate with CDI, medical staff, and clinical documentation specialists
• Assist with writing appropriate coding queries
• Ensure compliance with AHIMA ethical coding standards
• Communicate coding accuracy issues and trends to managementWe are a company committed to creating diverse and inclusive environments w people can bring their full, authentic selves to work every day.

We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HRinsightglobal.

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insightglobal/workforce-privacy-policy/.Skills and Requirements

• High School diploma or equivalent with formal ICD-10-CM, ICD-10-PCS, and CPT-4 training
• Associate's or Bachelor's degree (education considered in lieu of experience
• Minimum of 2 years

ICD-10-CM/PCS

coding experience at a Level 1 Trauma hospital OR 4 years inpatient coding experience

• 2-3 years ambulatory coding experience
• One of the following certifications: CCS, RHIT, RHIA, or CIC
• Prior experience supporting large hospital systems
• Experience auditing complex inpatient cases across multiple specialties