The posting
About You
You are a person who enjoys ensuring coding accuracy and solving documentation and compliance challenges. We need someone who demonstrates skills in organization, prioritization, professionalism, and coaching others. In the role of Outpatient Coding Auditor, you will be responsible for quality reviews and audits and coordinating with department managers to ensure standards are met in accordance with department and organization policies.
- Tell us about your experience with Outpatient Coding Auditing.
- Are you a team player and a self-motivator?
- What is your experience with conducting business in a way that is credit to a company?
- We are counting on you to manage multiple projects using your problem-solving skills.
- We are looking for someone UNCOMMON. What is uncommon about you?
Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you.
About The Position
- Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural Terminology (CPT-4 and Healthcare Common Procedure Coding System (HCPCS).
- Practical knowledge of reimbursement systems, including Prospective Payment System (PPS), Diagnostic Related Groupings (DRGs), and Ambulatory Payment Classification (APC).
- Creates clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating Coders, Auditors, Managers, and Directors throughout the organization. Delivers educational feedback to coding staff regarding audit findings.
- Identify documentation issues (lacking documentation, missed physician queries, etc.) that impact coding accuracy. Clearly communicates (verbally and in written reports or summaries) opportunities for documentation improvement related to coding issues.
- To provide guidance to other departmental staff in identifying and resolving coding issues and/or error trends for improvement.
- Provides continuing education to individual coders and to the coding staff concerning changes in the coding and reimbursement system as well as any area of weakness identified during the performance of coding validation reviews.
Minimum Requirements:
- Completion of a formal coding program with preference given to AHIMA and AAPC credentials (CCS, RHIT, CIC, CPC). 5+ years of progressive experience in professional medical coding/reimbursement
- Currently holds national auditing credential with preference given to AAPC credential (CPMA), or be capable of attaining within 12 months from start date.
- Coding work experience encompassing a working knowledge of the ICD-10-CM and ICD[1]10-PCS; medical terminology; anatomy and physiology; and health record content.
- Comprehensive understanding of coding guidelines, Coding Clinics and appropriate coding references along with the ability to employ these coding resources to audit findings.
- Experience with Multi-Specialty Outpatient Clinic for Facility and Pro-fee services is preferred.
- Ability to work in multiple client systems and proficiency with Microsoft office applications.
- Cerner, EPIC and 3M 360 Encompass experience preferred
- Academic medical facility and professional services auditing experience preferred
About Us
You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission.
About the Benefits
When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself. Signature believes in fully developing each one of our Associates. Our performance-driven philosophy boasts competitive pay and additional position specific incentives, where world-class training and development, resources, and events drive our award-winning culture where everyone thrives.
- Health Insurance
- Fully Paid Life Insurance
- Fully Paid Short- & Long-Term Disability
- Paid Vacation
- Paid Sick Leave
- Paid Holidays
- Professional Development and Tuition Assistance Program
- 401(k) Program with Employer Match
Security Requirements
- U.S. Citizenship or naturalized citizenship is required for this position.
- All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii.
- Signature Performance requires candidates to participate in interviews with their camera enabled. Interviews may be recorded for evaluation, training, quality assurance, and hiring purposes. Candidates will be provided the opportunity to consent during the application process and notified before recording begins. These requirements are applied consistently to all applicants and are a condition of participation in the selection process. Failure to meet these requirements may result in removal from consideration. Candidates who have questions, concerns or require accommodation regarding recording should notify the Talent Attraction & Strategy team before proceeding.
