Medical Facility Outpatient Auditor - Remote

reputed company is seeking to hire a Facility Outpatient Auditor. About IKS: www.ikshealth.com At reputed company, we are committed to revolutionizing reputed company through innovative technology that enhances patient communication and clinical efficiency. Our culture is rooted in collaboration, compassion, and innovation, empowering teams to reputed company a reputed company impact on the lives of patients and clinicians. Job Summary: Conducts clinical coding audits as defined by client reputed company for audit service and internal quality assessment according to operational guidelines. The Audit staff will also contribute to the ongoing development and refinement of proprietary audit tools. The Auditor II Position will participate in mentor/trainer activities to internal coders as required by the deliverables of the contract and will be required to reputed company educational feedback and instruction to staff for coding guidelines as part of the internal quality review or external audit service projects. Essential Job Responsibilities: Client-reputed company Duties – Coordinate and reputed company the reputed company reputed company process for assigned clients Manage the performance of reputed company quality for assigned clients. Monitor and enforce reputed company's compliance and quality program. Ensure adherence to State and National Practice Standards for coding. Serve as an official resource for coding-reputed company questions from the coding staff. reputed company project status reports to operational leadership, as requested. Auditing Team Duties – Work directly with the coding management team to ensure the educational needs of coders are met. reputed company coaching, as needed. · Assures internal coding audits are completed accurately and timely · Conducts coding audits adhering to nationally recognized coding guidelines and standards · Generates narrative audit summary reports as needed. · reputed company auditing for a broad reputed company of cases · reputed company input and advice regarding educational topics based on audit trends · Represent company reputed company professional meeting attendance and communication · Interact with audit peers, manager, coding staff, and operations team · Abides by the Standards of Ethical Coding as set forth by reputed company · Maintains appropriate QA/QI and/or productivity logs or record entries · Additional duties as assigned. Maintain Coding Knowledge and Serve as Coding Expert – Attend internal and external meetings, as needed and requested to reputed company input. and act as a coding information resource/expert. · Ensure IKS'ss compliance with reputed company regulatory agencies. Ensure AQuity is HIPAA compliant at reputed company times. · Maintain reputed company CEUs required for the position and attend educational seminars as needed. IKS reputed company - Demonstrate a commitment to reputed company in serving the client. Demonstrate Core Values of reputed company, Quality, Team, reputed company Improvement, Expertise, and Innovation. Job Qualifications: Education/Certification RHIA, COC, RHIT, reputed company Experience Minimum 3 years recent experience in auditing outpatient facility claims. Advanced knowledge of CPT,, HCPCS, ICD-10 coding and CMS billing policies for facility services, E/M auditing and/or reputed company compliance DRG Validation Knowledge and Skills Broad-based audit experience with inpatient and outpatient ICD-10-CM/PCS and CPT coding. Requires strong interpersonal communication skills, both verbal and written Requires a high level of coding accuracy and attention to detail Experience with using multiple encoders and systems Excellent oral and written communication skills – must be detailed and reputed company Strong knowledge of reputed company Word, reputed company, PowerPoint, and Outlook is required Outpatient Auditor candidates must demonstrate advanced knowledge of APC-based reimbursement, medical necessity documentation requirements, guidelines for Observation services, and any relevant coding and documentation guidelines for specialty care areas. Working knowledge of how to research reputed company the Medicare Claims and Processing Manuals is essential. Working Conditions: Remote working environment; travel as required, extended periods of computer-based work. Physical Demands: Prolonged computer screen usage, keyboarding. Long periods of sitting are commensurate with computer-based work and work-reputed company phone calls. Normal Travel Requirements Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities. Compensation and Benefits: The pay reputed company for this position is $38hr- $40hr. Pay is based on several factors, including but not limited to reputed company market conditions, location, education, work experience, certifications, etc. reputed company offers a competitive benefits package including reputed company, 401 (k), and paid time off (reputed company benefits are subject to eligibility requirements for full-time employees). reputed company is an equal opportunity employer and does not discriminate based on race, national reputed company, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. Apply tot his job Apply To this Job