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Medical Coding Prebill Auditor

The CSI Companies
Jacksonville, FL Full Time
POSTED ON 1/16/2025
AVAILABLE BEFORE 4/7/2025

CSI Companies is actively hiring a REMOTE Coding Prebill Auditor for a contact position to start immediately! The REMOTE Coding Prebill Auditor is responsible for conducting prebill and retrospective reviews of accounts to include DRG`s, APC`s, diagnoses and procedures on accounts that are finalized by the coding staff. What you want to know :

  • Remote, Work from Home position
  • Weekly pay

What you will be doing :

  • Perform audits to insure that compliance with current coding guidelines and regulatory standards are being met.
  • Actively participate in the selection of review issues
  • Evaluate coding audits and close monitoring of external forces such as OIG, RAC, and CMS etc. is an important role of this position.
  • Identify potential documentation, coding and reimbursement issues and report these to coding leadership.
  • Employ critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement.
  • Provide written and verbal reports and analysis of their findings to be presented to coding leadership, coding staff
  • Position Requirements :

  • Bachelor or Associate degree in Health Information Management, Business, or other health care related field preferred
  • Three years of hospital-based inpatient / outpatient services coding experience required
  • A combination of 5 years of comparable hospital coding experience may be substituted for an Associate's degree
  • At least one of the following Certifications :
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Certified Coding Specialist (CCS)
  • Certified Professional Coder (CPC)
  • Certified Inpatient Coder (CIC)
  • Certified Outpatient Coder (COC)
  • Hospital experience with focus on government payors
  • Expert level experience with medical record chart review
  • Extensive experience with Medicare, Medicaid, and reimbursement rules and regulations
  • Experience with management information systems and medical software
  • Competent in Microsoft Word and Excel software in a Windows environment (Experience with Microsoft Access Is a plus)
  • Must demonstrate extensive experience with DRG assignment, and / or hospital outpatient coding of diagnosis and surgical procedures with some IVR experience preferred
  • This is a remote, work from home position. You may be located anywhere within the US. #CSIRISKADJ

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