Medmetrix
Coding Auditor- Remote
US · Remote · Senior
Salary not stated
AI summary
About the company
Medmetrix是一家提供医疗编码及审计相关服务的机构，专注于医疗合规与编码质量管控。
Role overview
该岗位为Medmetrix的远程编码审计员，负责多专科的住院与门诊编码及审计，需准备并提交审计结果，为医护人员提供编码相关培训，需遵守HIPAA等合规要求，要求具备相关编码认证及多年编码、审计经验。
Responsibilities
- 开展多专科提供者的编码与合规审计，编制并提交审计报告
- 准确应用各类编码及文档指南，包括E&M、手术、CCI等规则
- 为医护人员提供编码相关培训，如审计结果、拒付趋势分析
- 完成合作方编码工作的审计，与外部审计人员协作
- 评估并报告支持编码的医师文档质量，确保合规
- 遵守本地、国家及 payer 的编码规则，处理拆分/共享服务等编码
- 汇总、分析并报告不符合指南的审计发现
- 严格遵守HIPAA及信息安全政策，最小化访问患者PHI
Requirements
- 高中及同等学历，需持有AHIMA或AAPC的CPC或CCS认证
- 至少5年多专科编码经验，2年以上审计经验
- 熟练使用办公软件，具备独立工作能力
- 优秀的书面及口头沟通能力，良好的人际交往技巧
- 具备良好的问题解决能力与判断力，结果导向
- 高度诚信与可靠，能承受工作压力
Nice to have
- 具备e/n相关经验
Notes for China-based candidates
- 远程工作，无明确时区限制
- 需遵守HIPAA合规要求
- 需持有相关编码认证及经验
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Excerpt
Job Purpose The Coding Auditor will be responsible for inpatient and outpatient coding and auditing for various specialties. This role will also be responsible for preparing and presenting audit results. Duties and Responsibilities • Perform coding audits and compliance audits for providers,…
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