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Outpatient Auditing Specialist Job in Olyphant, Pennsylvania

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Job Title: Outpatient Auditing Specialist

Employer:AGS Health
Job Location:Remote
Skills:Medical Coding,Medical Auditing
Specialties:Multiple specialties (Cardiology, Cardiothoracic Surgery, Trauma, Orthopedics, general medicine and surgery, GI, pediatrics, obstetrics, newborns, etc.)
Required Certifications:AHIMA or AAPC Certification
Preferred Certifications:CPC or CCS
Required Experience:3 to 4 years
Preferred Experience:5 to 7 years
Location:1444 East Lackawanna Avenue Suite 203, Olyphant 71291, PA, US
* Note: This listing is for a remote position
Date Posted:4/21/2021

The Outpatient Auditing Specialist will be responsible for applying the appropriate ICD-10-CM diagnosis and CPT procedural codes and determining the APR-DRG assignment for accounts across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.). 

 Audit accounts as an advanced coder, auditing ancillary as well as emergency, ambulatory surgery, and observation. May perform other duties as assigned.   Assign correct codes in accordance with coding guidelines and accepted ethical principles of coding.

  • Perform accurate and compliant auditing reviews of pertinent medical records and physician services to identify and report audit outcomes and need for coding education.
  • Coding reviews include practice and ASC based services, ensuring compliance with ICD-10 CM, ICD-10 PCS, CPT, HCPCS coding and Modifier guidelines.
  • Explain findings in a clear and concise manner to internal team members. Communicate in a way that demonstrates knowledge of regulations and requirements of CMS, payors, and Federal and state laws.

For the Outpatient Coder Position available, you should meet the following criteria:

  • At least 3 years’ Outpatient coding experience (Same Day Surgery, Observations, ED, Ancillary)
  • At least 5 years’ coding experience from an acute care hospital
  • Has a thorough understanding of the differences between professional coding in a clinic setting as compared to professional coding in a hospital setting (outpatient and inpatient),
  • Experience with Epic and 3M
  • Extensive experience at a Level I or Level II trauma facility
  • AHIMA or AAPC Certified, CPC or CCS preferred



Leigh @ uscareers@agshealth.com

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