Medical Coding Prebill Auditor - The CSI Companies : Job Details

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

What you will be doing:

• 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

Position Requirements:

• 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:

Registered Health Information Administrator (RHIA)

Registered Health Information Technician (RHIT)

Certified Coding Specialist (CCS)

Certified Professional Coder (CPC)

Certified Inpatient Coder (CIC)

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

This is a remote, work from home position. You may be located anywhere within the US. #CSIRISKADJ