Inpatient (DRG/APR-DRG) Auditor and Educator (part-time)

Department
Auditor and Educator
Job posted on
25/08/2024
Employment Type
Full-Time
Experience range
3+ Years
Work Mode
WFH

Job description

Are you interested in joining one of the nation’s leading providers of medical coding services that is experiencing impressive year-over-year growth?ย  Gebbs is nationally recognized as one of the top medical coding companies in KLAS and Black Book Market Research surveys.ย  Here is your opportunity to be part of this exciting team.ย  We are hiring now and have an immediate need for a full-time Facility (MS-DRG, APR-DRG) Auditor and Educator.ย  This position will be responsible for conducting Inpateint Facility Second Level audits and providing education session for large and small groups of offshore Quality Assurance team members. The Facility Auditor/Educator will support accurate coding audit reports and assist in preparation or execution of coder education for Gebbs.

  • Coding certifications through AAPC or AHIMA (CCS, CDIP, RHIA, RHIT, CIC) required.ย 
  • Minimum of 3 yearsโ€™ preparing facility coding audits and education
  • Strong knowledge of coding disciplines; Facility Coding & Audit and Education.
  • Extensive knowledge of medical terminology, medical billing and payment methodologies, including coding guidelines for ICD-10, Queries, DRG assignment, etc.
  • Prior expeiernce providing remote education required
  • Comprehensive knowledge of procedure and diagnostic coding for facility services and Medicare, Medicaid and other 3rd party payer coding regulations.
  • Able to yield high quality second level coding audits via a manual coding audit process or technology enhanced audit tool
  • Knowledge of quality metrics and commitment to enforcement of standards
  • Multi-speciality coding expertise with the ability to work independently in a fast-paced environmentย 
  • Excellent verbal, written, and interpersonal communication skillsย 
  • Strong computer skills including MS Office (e.g., PowerPoint, Excel and Word)ย 
  • Ability to multi-task and set/meet multiple deadlinesย under pressure with initiative, tact, and poise ย  This is a work-from-home position that is full time.
  • Leverage extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding and billing of Facility Inpatient records
  • Analyze and identify opportunities for documentation improvement and prepare reports, presentations and recommendations based on the analysis
  • Analyze and identify opportunities for physician queries and prepare reports, presentations and recommendations based on the analysis – Communicate with Quality Assurance team and client ATA findings.ย  – Provide recommendations on actions to be taken for improvement to internal management team.ย  – Perform Facility Inpatient Second Level audits and education for a large academic multi-specialty health system. – Previous Cerner/Orale EMR experience required

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