Outpatient Coding Quality Auditor

Outpatient Coding Quality Auditor at Conifer Health Solutions

Join to apply for the Outpatient Coding Quality Auditor role at Conifer Health Solutions .

Duties and responsibilities

• Understands, interprets and applies coding guidelines for coding quality audits. Audits inpatient and pro‑fee encounters with complex code assignments.
• Review of complex medical records to determine coding accuracy of all documented diagnoses and procedures.
• Reviews claims to validate submitted codes and abstracted data including but not limited to ICD-10-CM/PCS codes, MS‑DRGs, APR‑DRGs, CPT’s, APC’s, and discharge disposition which all facility reimbursement and RVUs impact pro‑fee reimbursement.

Required Certifications/Licensure

• Coder Certification such as CCS, COC, CPC

Working Conditions

• Amenable to work in BGC
• Willing to work in a day‑shift schedule
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