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Company Name : eCatalyst Healthcare Solutions
Location : Phoenix, AZ 85018
Position : Inpatient Auditor
Job Description : Inpatient Auditor
Compensation: $26- $32/hr.
Location: Remote
Schedule: FT Hourly Employee
Job Summary
eCatalyst is looking for a remote, Inpatient (IP) Auditor who will provide client services and lead, coordinate, and perform all functions of quality reviews for Inpatient coding across multiple clients.
The IP Auditor performs quality reviews on coders ensuring compliance with coding guidelines and company policies for complete, accurate, and consistent coding. eCatalyst’s client focused approach includes professionalism, responsiveness to client requests, and quality services resulting in appropriate reimbursement and data integrity.
The Inpatient Coding Auditor will assign and sequence ICD-10-CM, ICD-10-PCS, MS-DRG, APR-DRG (if applicable), and CPT/HCPCS codes (if applicable) through review of documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance.
Our ideal candidate serves as a knowledge expert and maintains up-to-date working knowledge of coding guidelines in order to act as a resource and point person for issues and question for coders, customers or project teams. The auditor provides education to audit clients or internal eCatalyst coders as required by the deliverables of the contract.
Duties/Responsibilities:
Reviews physician documentation for coding appropriateness and accuracy following AMA coding guidelines.
Assigns and sequences ICD-10-CM and ICD-10-PCS codes and assignment of MS-DRG and/or APR-DRG if applicable for multiple inpatient accounts, in multiple settings, as appropriate up to and including many different surgical procedures across many different sites, including academic facility and trauma facility possibilities, and many specialties based upon client specifications.
Utilizes an electronic medical record (EMR) and computer-assisted coding (CAC) software or an encoder, depending on the client.
Reviews and analyzes medical records for accurate code selection.
Provides feedback to coders and providers on coding corrections, appropriately citing authoritative resources.
Complies with eCatalyst Healthcare’s coding practices to meet corporate compliance guidelines and ensure appropriate and effective reimbursement with clients’ financial services, medical staff, and other departments.
Assists with the interpretation of codes and other information requested for accurate code assignment.
Applies payer guidelines to ensure compliance and appropriate reimbursement.
Maintains current expertise in all required coding and payment systems.
Ensures client coding audits are completed accurately and timely by meeting client turnaround and audit quality expectations.
Attend eCatalyst and client meetings and trainings remotely as needed.
Communicate with management regarding clinical, coding, and reimbursement issues as needed.
Function in a professional, efficient, and positive manner with strong critical thinking and decision-making skills.
Demonstrate initiative and judgement in performance of job responsibilities.
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