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Remote Outpatient Coding Auditor

Aquity Solutions

This is a Contract position in Las Vegas, NV posted November 1, 2022.

About AQuity Solutions: Headquartered in Cary, NC, a suburb of Raleigh, Aquity Solutions employs more than 7,000 clinical documentation production staff throughout the U.S., India, Canada, and Australia.

With over 40 years of experience and recognized by both KLAS and Black Book as the top outsourced transcription service vendor, Aquity Solutions is focused on delivering superior business results.

Aquity Solutions provides healthcare professionals with key services including: Medical Scribing, Interim HIM Services, Medical Coding and Medical Transcription.

Position Summary: The Auditor conducts clinical coding audits as defined by client contracts for audit service according to operational guidelines.

The Audit staff will also contribute to the ongoing development and refinement of proprietary audit tools.

The Auditor Position will participate with educational activities and coding instruction presentations as required by the deliverables of the contract and will be required to provide formal audit feedback as part of the external audit service projects.

Essential Responsibilities: Client Related Duties – Coordinate and oversee the external audit process for assigned clients.

Ensure adherence to State and National Practice Standards for coding.

Generates narrative audit summary reports as needed Serve as an official resource for coding related questions from the coding staff Provide project status reports to operational leadership, as requested Auditing Team Duties – Assures external coding audits are completed accurately and timely Conducts coding audits adhering to nationally recognized coding guidelines and standards Generates narrative audit summary reports as needed.

Perform auditing for a broad spectrum of cases Provides input and advice regarding educational topics based on audit trends Represents company via professional meeting attendance and communication Interacts with audit peers, manager, coding staff and operations team Abides by the Standards of Ethical Coding as set forth by AHIMA Maintains appropriate QA/QI and/or productivity logs or record entries Maintain Coding Knowledge and Serve as Coding Expert – Attend internal and external meetings, as needed and requested to provide input and act as a coding information resource/expert.

Ensure AQuity’s compliance with all regulatory agencies.

Ensure AQuity is HIPAA compliant at all times.

Maintain all CEUs required for position and attend educational seminars as needed Requirements: 1 year coding Outpatient auditing experience RHIA, RHIT, CCS, CCS-P, CPC certification Experience auditing SDS, ED, Recurring, Ancillary and Clinics Prior experience in development of audit-driven educational programs desired.

Broad-based audit experience with inpatient and outpatient ICD-10-CM/PCS and CPT coding.

Requires strong interpersonal communication skills, both verbal and written Requires a high level of coding accuracy and attention to detail Experience with using multiple encoders and systems Outpatient Auditor candidates must demonstrate advanced knowledge of APC-based reimbursement, medical necessity documentation requirements, guidelines for Observation services and any relevant coding and documentation guidelines for specialty care areas.

Working knowledge of how to research within the Medicare Claims and Processing Manuals is essential Why Work for Aquity: We offer competitive benefits such as: Competitive salary Full Benefit package including medical, dental, vision, short and long term disability and voluntary life insurance 401(k) with matching Three weeks of paid time off (120 hours) annually Seven paid holidays annually Job related education reimbursement, CEU and credentials

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