[Hiring] Facility Coding and Audit Lead @Managed Resources

Role Description

The primary responsibilities of the Facility Coding and Audit Lead involve a combination of coding, auditing, leadership, project oversight, and quality assurance.

Inpatient and Outpatient coding includes:

• ICD-10-CM
• ICD-10-PCS
• HCPCS
• CPT
• DRG
• Query reviews based on medical record documentation

A Lead Facility Coder and Auditor is essential for maintaining coding accuracy, consistency, and compliance across the coding team. By serving as a technical resource, performing quality audits, and mentoring coders, they help:

• Identify trends
• Reduce coding errors
• Ensure accurate reimbursement
• Support continuous improvement and operational excellence

What You’ll Gain:

• Flexibility of a remote work environment
• Visibility and access to leadership
• Opportunity to contribute ideas and influence change
• Professional development and career growth opportunities
• Meaningful work supporting healthcare organizations nationwide
• A collaborative culture that values employee success, recognition, and work-life balance

What You’ll Do:

• Abstract all ICD-10-CM, ICD-10-PCS, HCPCS, CPT, DRG and query reviews based on medical record documentation
• Accurately enter data into client software and/or Excel reports
• Experience in coding and auditing Inpatient and Outpatient accounts in various specialties, including Trauma I, OB/Gyn, Transplants, NICU, Pediatrics, and many others
• Evaluate the overall quality of facility documentation for quality improvement measures
• Communicate findings with CodingAID internal management team for distribution to client
• Perform accurate coding using applicable guidelines and client protocols
• Perform quality assurance reviews on team members to ensure accurate coding
• Communicate with client and/or providers as needed (i.e. coding clarification, missing documentation, client calls, etc.)
• Communicate with team assigned to project and Project Manager as needed (i.e. onboarding, ongoing training opportunities, schedule changes, vacations, daily assignments/work volume, coding questions, protocol updates, etc.)
• Assist with project staffing based on client(s) volume
• Track and enter time accurately and timely into our timekeeping system
• Comply with policies regarding the use and disclosure of protected health information
• Ensure compliance with federal and state laws, regulations, and standards related to health information and coding principles
• Other duties as assigned

Qualifications

• Experience coding and auditing Inpatient and Outpatient accounts in various specialties, including Trauma I, OB/Gyn, Transplants, NICU, Pediatrics, and many others
• Must have one of the following current credentials: CCS, RHIT or RHIA
• A minimum of three to five years’ experience abstracting ICD-10-CM, ICD-10-PCS, HCPCS, CPT, DRG and query reviews
• Requires advanced technical knowledge in Coding Specialties areas as assigned
• Extensive knowledge of medical terminology
• Experience in researching and applying coding rules and regulations
• Must have experience with data entry of codes into a database and/or software tool
• Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems

Benefits

• Medical, Dental, and Vision Insurance
• Phone and Internet Stipend
• Company-Paid Life Insurance
• 401(k) Retirement Plan with Company Match
• Paid Time Off
• Seven Company-Observed Holidays
• Two Floating Holidays for Personal Observance
• Professional Development Opportunities
• Employee Recognition Programs
• Remote Work Environment