FreshRemote.Work

Coding Auditor (Remote in US)

Any city, AL, US, 99999

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

 

Summary

We are seeking a talented individual for a Coding Auditor who is responsible for performing coding reviews of medical records and/or other documentation to determine correct coding as defined by review methodologies specific to the contract for which review services are being provided.  This involves accessing proprietary systems to audit medical records, accurately document findings and providing policy/regulatory support for determination. The candidate must have an extensive background in either facility-based inpatient coding and/or outpatient coding edits and has a high level of understanding in reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG and APR-DRG, ASC and APC payment systems.

Your role in our mission

  • Performs audits of medical record documentation to determine the accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes. Adheres to official coding guidelines, coding clinics and regulatory guidelines and mandates. Draws on advanced ICD-10 coding expertise to substantiate conclusions. Utilizes HMS proprietary auditing systems with a high level of proficiency to document audit determinations and rationale. 
  • Consistently achieves productivity and quality performance standards established by management.
  • Actively cross-trains to perform reviews of multiple claim types to provide a flexible workforce to meet client needs
  • Assists management with training new Coding Auditors to include daily monitoring, mentoring, feedback and education.
  • Maintains current knowledge of coding guidelines and successfully completes required CEUs to maintain coding certification.
  • Responsible for attending training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations.

What we're looking for

  • Demonstrated proficiency in medical record auditing and ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodology.
  • Demonstrates a thorough understanding of the APR-DRG, AP-DRG, and MS-DRG
  • One or more active professional credentials through AHIMA or AAPC: CPC, CCS, COC, RHIA, RHIT
  • Demonstrated experience in medical record coding and auditing.
  • Demonstrated proficiency in computer skills and typing, i.e., Microsoft Windows, Outlook, Excel, Word, PowerPoint, Internet browsers and in virtual meeting tools i.e., Microsoft Teams, Zoom, etc.

What you should expect in this role

  • Remote (work from home) environment
  • Full-time Regular Hourly W-2 position
    • Monday through Friday work schedule.
  • Company computer provided for work use only.
  • Health benefits on first day of employment
  • To effectively work as a teleworker with Gainwell, employees Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload.  Greater speeds will of course provide better performance.
    • To Test your internet download and upload speed:
    • Go to Google 
    • Search for Internet Speed Test  
  • Video cameras must be used during all interviews, as well as during the initial week of orientation if hired. 

 

This position is intended for pipelining. We will accept applications on an ongoing basis.

 

#LI-NB1

#LI-REMOTE

 

The pay range for this position is $20.00 - $45.00 per hour, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

 

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

 

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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Job Profile

Regions

North America

Countries

United States

Restrictions

Initial week of orientation Must have broadband internet Orientation Remote work Video cameras must be used Video cameras must be used during all interviews Video cameras required for interviews and orientation

Benefits/Perks

Career development Career development opportunities Comprehensive health benefits Continuous learning Development academies Educational Assistance Flexibility Flexible hours Flexible Vacation Flexible vacation policy Generous, flexible vacation policy Health benefits Health benefits from day one Inclusive workplace Leadership and technical development Leadership and technical development academies Medical Remote work Technical development Technical development academies Vacation policy Work flexibility Work From Home Work-life balance

Tasks
  • Audit medical records
  • Document
  • Documentation
  • Document findings
  • Leadership
  • Mentoring
  • Perform coding reviews
  • Test
  • Training
  • Train new coding auditors
Skills

Accuracy APC AP-DRG APR-DRG Asc Audit Auditing CCS Coding Coding certification Coding Guidelines Collaboration Computer CPC CPT CPT coding Development Documentation Excel Flexibility Go HCPCS Healthcare ICD-10 ICD-10-CM ICD-10 Coding ICD-10-PCS Innovation Inpatient Coding Internet browsers Leadership Medical Medical record auditing Medical record coding Medical record documentation Mentoring Microsoft Excel Microsoft Outlook Microsoft PowerPoint Microsoft Teams Microsoft Windows Microsoft Word Monitoring MS-DRG Outlook Pcs PowerPoint Regulatory Guidelines Teams Technical Tools Training Windows Word Zoom

Experience

3 years

Education

Audit Healthcare IT RHIT

Certifications

CCS COC CPC Quality RHIA RHIT

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9