Review Consultant IP/OP Auditor

Health Information Associates (HIA)

Nashville, TN

Expired: 15 days ago Applications are no longer accepted.

$70,000 to $100,000 Yearly
Medical , Dental , Paid Time Off , Life Insurance
Full-Time

Job Description

Overview

As a Remote Review Consultant, you will be responsible for performing inpatient and outpatient medical records compliance audits in accordance with current CMS, CPT, ICD-10 guidelines, as well as all state and federal regulations, while maintaining productivity and quality standards. You will also write concise recommendation worksheets with appropriate findings and references to clients during summation calls, write Executive Summaries and communicate with different levels within the organization. Finally, you will be expected to effectively utilize review databases (Intelicode, MD Audit, etc).

Responsibilities

Reviews records assigned to ensure all codes reported are accurate to ICD-10 CM/PCS and/or CPT coding conventions
Reviews additional chart documentation to validate admission order, admission and discharge dates, point of origin, patient status, present on admission indicator, and coder queries to ensure accuracy
Uses various software applications, groupers, 3M and other coding tools to analyze and ensure appropriate codes, sequencing and edits
Runs preliminary and final statistical and coder specific reports
Completes client rebuttals and makes appropriate changes in database
Prepares for Exit Conference using Teams
Conducts Exit Conference with Administration
Conducts Exit Conference with Coding Staff
Prepares summation of Exit Conference
Meets with HIM Director following Exit

Qualifications

High School Diploma with RHIA, RHIT, or CCS credential
Minimum 5 years inpatient and outpatient coding experience in an acute care facility.
I-10-CM/PCS proficient
Computer proficiency, able to research coding questions and utilize HIA’s internal educational resources
Experience using Electronic Health Record (EHR)
High Speed Internet via Cable (no Satellite or wireless cell based)
Independent, focused individual able to work remotely.
Sound organizational, communication, and critical thinking skills

What We Offer:

Competitive Pay
Benefits package - Medical, Dental, Life
Remote work! Equipment provided!
PTO and Paid vacations
Family owed and operated
Great team culture
Continued education provided
Cross training and promote from within

Company Description

Since 1992, HIA has been the leading provider of compliance audits, coding support services and clinical documentation audit services for hospitals, ambulatory surgery centers, physician groups and other healthcare entities. We are a growing organization that has managed to maintain a family atmosphere. We don’t try to be all things for all people. We do what we do best - coding. We focus on providing our clients with a personalized business relationship that they can rely on long term.

We may not be a fit for every organization, but those looking for a different perspective to address their coding needs will want to consider us.
Why? Because we know what counts – experience, commitment, integrity, and education. The success we’ve experienced these past 30 years is due in large part to our dedication to these values. We set them as our standards in everything we do, and they are the reason we can provide the highest quality coding review and support services in the industry. When clients can depend on quality services delivered the right way, they find success, and that’s how we measure our own.

Why Work Here?

At HIA, we take pride in providing outstanding benefits, enticing company perks, and ensuring our employees' well-being and satisfaction.

Since 1992, HIA has been the leading provider of compliance audits, coding support services and clinical documentation audit services for hospitals, ambulatory surgery centers, physician groups and other healthcare entities. We are a growing organization that has managed to maintain a family atmosphere. We don’t try to be all things for all people. We do what we do best - coding. We focus on providing our clients with a personalized business relationship that they can rely on long term. We may not be a fit for every organization, but those looking for a different perspective to address their coding needs will want to consider us. Why? Because we know what counts – experience, commitment, integrity, and education. The success we’ve experienced these past 30 years is due in large part to our dedication to these values. We set them as our standards in everything we do, and they are the reason we can provide the highest quality coding review and support services in the industry. When clients can depend on quality services delivered the right way, they find success, and that’s how we measure our own.