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Remote Physicians Coding Auditor & Denial Edits

AMN Healthcare Revenue Cycle Solutions is seeking 2 Professional Fee Multi-Specialty Auditors who can also complete Edit Denials. Under indirect supervision, is responsible for Reviewing Completed Professional fee Coding for clinic and Facility. This will include reviewing the coding of multispecialty visits including Profee E&M Levels from the appropriate documentation in the medical record. Classification systems include ICD-10-CM, CPT, Physician E&M Level, Healthcare Common Procedure Coding System (HCPCS) as well as other specialty systems as required by diagnostic category. All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-10, Centers for Medicare and Medicaid Services (CMS), Office of Statewide Health Planning and Development (OSHPD), and organizational/institutional coding guidelines.

Responsibilities and duties include and are not limited to:

  • Maintains a working knowledge of ICD-10, CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing
  • Assures that all services documented in the patient's chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards.
  • Processes Denial Edits within EPIC
  • Ability to maintain average productivity standards.
  • Works the review queue on a daily basis to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary.
  • The coder is responsible for coding or pending every chart placed in their queue.
  • Coders must maintain their current professional credentials.

OTHER REQUIREMENTS

  • Remote Workstation
  • Standard Windows PC
  • Internet Access with DSL or Cable
  • VPN compatibility
  • Printer/Fax


EDUCATION AND SKILLS

  • High school diploma or equivalent required.
  • Requires one of the following coding credentials: AHIMA (RHIA, RHIT, CCS), AAPC (CPMA, CPC)
  • Must be proficient with Physician and Facilities Coding Standards.
  • Minimum of Ten (10) years' experience in profee coding.
  • Minimum of five (5) years' experience in Professional Fee auditing.
  • Working knowledge of ICD-10-CM/PCS.


SALARY AND BENEFITS

  • Salary Range: $75,000 to $83,000 per year
  • Paid Time Off and Sick Time
  • 401K
  • Medical, Dental, Life and Long/Short term disability Insurance.
  • Paid Association Dues Paid
  • Educational Benefits


AMN Revenue Cycle Solutions is an EEO/AA/Disability/Protected Veteran Employer.

We encourage minority and female applicants to apply.

AMN Healthcare is committed to fostering and maintaining a diverse team that reflects the communities we serve.

Our commitment to the inclusion of many different backgrounds, experiences and perspectives enables our innovation and leadership in the healthcare services industry.

Apply today and one of our team members will be in touch to help you find the role that best fits your skills and goals.

Benefits

Becoming an AMN Healthcare nurse gives you the incredible opportunity to explore new cities, gain critical nursing career experience, and earn a highly competitive salary-but the perks don't stop there. There are many additional benefits to enjoy through travel nursing jobs, including:

  • Premium health benefits for you and your family
  • Access to the largest network of facilities and providers in the country
  • Industry-leading clinical team support
  • Licensure assistance
  • 401k matching
  • Free CEUs



About the Company

At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

Remote Physicians Coding Auditor & Denial Edits

Sacramento, CA
Full Time

Published on 06/22/2022

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