STAR Medical Auditing Services

Facility Inpatient Auditor (Remote)

Are you a skilled and credentialed medical coding professional looking for an amazing team to join? Look no further! STAR Medical Auditing Services is hiring.

Facility Inpatient Auditor (Remote)

JOB DESCRIPTION

As a Facility Inpatient Auditor, you will be assisting STAR with medical auditing for multiple clients.  Must have minimum of 2 years recent active auditing experience and current coding credential. We will train on client specifics however you are expected to have a thorough understanding of general auditing principles and procedures including inpatient coding guidelines. Experience with Epic, Meditech, CAC and Excel a plus. This is a contract position that is fully remote with flexible schedule. Must work 20-40 hours per week. Must be US-based. Must complete Coding Assessments to be considered for position.

KEY RESPONSIBILITIES

  • Reviews medical records to identify diagnoses, CPT procedures and PCS procedures relative to the patient’s encounter.

  • Ensure all coding complies with the ethical coding standards/guidelines and regulatory requirements.

  • Validate principal diagnosis and principal procedure, along with other diagnoses and procedures are selected using UHDDS definition. Ensures appropriate DRG assignment.

  • Validate appropriate information from the medical record is abstracted based on the guidelines provided by the client and after a thorough review of the medical record.

  • Make recommendations for ambiguous or conflicting documentation in the medical record using guidelines provided by the client which should have been queried.

  • Communicates identified errors with thorough rationales including citing guidelines and sources

  • Provide Educational feedback as necessary

  • Maintains strictest confidentiality; adheres to all Health Insurance Portability and Accountability Act guidelines/regulations

EXPERIENCE/QUALIFICATIONS

  • Must have one of the following AHIMA/AAPC certifications: CPC, CCS, RHIA, RHIT

  • Extensive knowledge of medical terminology, anatomy and coding guidelines for ICD-10, PCS, CPT including HCPCS Level II codes, Modifiers, etc.

  • At least 2 years of recent active auditing experience in:

    • Facility Inpatient Auditing for Level II Trauma Center

    • CPT Coding including HCPC Level II Codes

    • PCS Coding

    • Compliant Query practices

  • Knowledge of current and developing issues, trends in medical coding procedures requirements, and be able to research as needed

  • Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures, and documentation including CMS guidelines

  • Proficient computer skills using MS-Word, Excel, Outlook, Internet Explorer, electronic medical records (EMR) systems including Epic along with 3M computer assisted coding program.

  • Meet required client productivity standards and maintain minimum of 95% accuracy

DESIRED QUALITIES

  • Self-sufficient with strong analytical and research skills

  • Responsible and responsive

  • Strong attention to details

  • Excellent written and oral communication skills

  • Ability to meet deadlines

  • Must reside and be legal to work in the U.S.

  • Must be fully vaccinated against COVID-19 or can claim exemption based on medical reasons or religious beliefs

TECHNOLOGY REQUIREMENTS

  • Reliable high-speed internet service

  • Equipment will be provided for the position