Job Description

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

• 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

• 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:

1. Registered Health Information Administrator (RHIA)
2. Registered Health Information Technician (RHIT)
3. Certified Coding Specialist (CCS)
4. Certified Professional Coder (CPC)
5. Certified Inpatient Coder (CIC)
6. 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

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