Outpatient Medical Documentation Auditor - Full-time, Remote
# Outpatient Medical Documentation Auditor - Full-time, Remote **HYRE HARPER Co.** · United States · `Remote` · `Full Time` 💼 **Уровень роли:** `Mid-level` 🕒 **Статус:** *Опубликовано: сегодня* · *Источник: Himalayas (JSON API)* --- ### Top Skills & Match 🎯 **Ключевой стек роли:** `[Medical-Coding]` `[Health-Information-Management]` `[Medical-Auditing]` `[Compliance]` `[Healthcare]` `[Outpatient-Coding-Auditor]` `[Clinical-Documentation-Auditor]` `[Medical-Documentation-Reviewer]` `[Clinical-Documentation-Analyst]` --- ### About the Role This is a remote position. Job Summary: The Medical Documentation Auditor ensures accurate and complete documentation through compliance and encounter audits and clinician feedback. Provides documentation feedback to clinicians from E&M, CPT, and ICD9 audits conducted using all state/federal and third-party payor regulatory standards for outpatient groups. Essential Responsibilities: Core Audit Responsibilities: - Conduct concurrent and retrospective audits of documentation supporting E/M, CPT, and ICD9 codes assigned by clinical staff. - Research correct coding practices in relation to applicable rules, regulations, and coding conventions for billing to determine compliance with Federal, State, and third-party payor regulations. - Review audit findings with individual physicians, making suggestions for documentation improvements. - Provide feedback to clinicians based on Federal and State government billing and coding guidelines. - Plan, schedule, and perform comprehensive chart audits to identify operational and regulatory issues related to coding, documentation, and compliance requirements. - Ensure complete and accurate data capture in compliance with Federal and State requirements. - Design and implement methodologies to ensure accurate and complete E&M, CPT, and ICD9 coding audits. - Provide technical expertise to leadership to identify and resolve coding and chart documentation problems impacting the accuracy and consistency of coded data. - Work with Trainers to address operational processes that hinder encounter data capture. - Enter audit results into audit tools to support quality assurance processes, analysis, and training activities. - Review analytical data and audit findings to identify coding trends and other risk areas and recommend appropriate actions. - Conduct quality assurance reviews and collaborate in the development and execution of audit and training plans. - Assist in developing and implementing policies and procedures to ensure compliance with Federal, State, and other regulatory requirements. Requirements Qualifications: - Minimum three (3) years CPT, ICD9, and E&M Coding experience. - Bachelor's degree in business administration, health care, public health, finance, business medical records technology, or four (4) years of experience in a related field. - High School Diploma or General Education Development (GED) required. - Certification as a Certified Coding Specialist, Certified Professional Coder - Hospital Outpatient, Registered Health Information Administrator, Registered Health Information Technician, or Certified Professional Coder. - Proficient in the use of PC applications such as MS Word, Excel, Access, and PowerPoint. - Experience conducting Medical Record audits and interpreting and applying Federal and State regulations, coding, and billing requirements. - Comprehensive knowledge of medical diagnostic and procedural terminology. - Ability to provide constructive and sensitive feedback to providers and leadership regarding federal and state coding, medical documentation, and compliance guidelines. - Ability to work with and maintain confidentiality of physician, patient, patient account, and personnel data. - Knowledge of outpatient coding practices. - Strong interpersonal, written, verbal, and presentation skills. - Ability to work independently with minimal supervision, prioritize workload, and meet deadlines. - Ability to read and interpret medical data. - Willingness to be flexible depending upon department and/or physician schedule needs. - Experience using electronic health record systems and web-based applications preferred. Originally posted on Himalayas
- Medical-Coding
- Health-Information-Management
- Medical-Auditing
- Compliance
- Healthcare
- Outpatient-Coding-Auditor
- Clinical-Documentation-Auditor
- Medical-Documentation-Reviewer
- Clinical-Documentation-Analyst
Наблюдалась 2026-10-15, впервые 2026-10-15, источник — Himalayas (JSON API).