Coding Auditor (ICD-10)
Company: Integrated Resources Inc
Posted on: February 16, 2020
A Few Words About Us Integrated Resources, Inc is a premier
staffing firm recognized as one of the tri-states most
well-respected professional specialty firms. IRI has built its
reputation on excellent service and integrity since its inception
in 1996. Our mission centers on delivering only the best quality
talent, the first time and every time. We provide quality resources
in four specialty areas: Information Technology (IT), Clinical
Research, Rehabilitation Therapy and Nursing.
Position: Coding Auditor (ICD-10)
Location: Newark/Wall NJ
This position is responsible for conducting on site audits of
hospital billing and coding practices and desk audits; forms
development, profiling and tracking institutional audit trends.
Performs and finalizes multiple per diem, bill verification, DRG
Validation (utilization review audits) and credit balance.
Additionally provides guidance/instruction to various stakeholders
on ICD9- CM, ICD-10, DRG assignment payment and auditing.
--- Identifies and presents billing discrepancies found during
audit and coordinates referral of improper claim payments through
the appropriate channels.
--- Identifies error trends as they relate to medical record and or
billing documentation or misinterpretation of provider contract
--- Compiles statistics and other audit information to present to
accounts, regulatory agencies, and internal requesters.
--- Reviews and updates audit processes with manager for purposes
of keeping up with new innovations in clinical data review and
company cost containment initiatives.
--- Required to train new staff on department/audit procedures.
--- Performs other special assignments as requested by manager.
--- Demonstrates knowledge, understanding and conforms to laws,
regulations and policies that pertain to the organizational units
--- Requires knowledge of medical terminology, detailed knowledge
of anatomy & physiology, disease pathogenesis and treatment
including procedural drug therapies, ancillary and diagnostic
--- Requires knowledge of principles of utilization management.
--- Requires knowledge of hospital structures and payment
--- Requires knowledge of Centers of Medicare and Medicaid
prospective payment system regulations.
--- Prefers knowledge of ACCESS Software.
--- Must have effective verbal and written communication skills and
demonstrate the ability to work well within a team. Demonstrated
ability to deliver highly technical information to less technical
--- Must have strong PC skills experience with MICROSOFT office
programs: excel, word and power point.
--- Must demonstrate professional and ethical business practices,
adherence to company standards, and a commitment to personal and
--- Proven time management skills are necessary. Must demonstrate
the ability to manage multiple priorities [or tasks], deliver
timely and accurate work products with a customer service focus,
and respond with a sense of urgency as required. Demonstrated
ability to work in a production focused environment.
--- Proven ability to ask probing questions and obtain thorough and
--- Needs to demonstrate willingness to cross-train, and be
cross-trained, in other roles/duties.
--- Must be detail oriented with strong organizational and data
processing skills. Proven ability to follow detailed instructions
is essential, along with proven problem solving skills.
--- Proven analytical, research and problem solving skills a
Travel (If Applicable):
--- Field position: 85 to 90% of time spent in the field at various
facilities in NJ, PA & NY
--- Requires a Bachelor's degree in Health Information Management
or related field; or a RN with CCS certification.
--- Requires a minimum of 3 years of experience in a medical
records department of an acute care hospital or other health care
facility. Experience with DRG validation, ICD-9-CM or ICD-10
training and education.
Additional licensing, certifications, registrations:
--- Requires RHIA or RHIT certification; or RN with CCS
--- Valid Driver's license and access to a car.
Integrated Resources, Inc.
IT Life Sciences Allied Healthcare CRO
Certified MBE -GSA - Schedule 66 I GSA - Schedule 621I
(BOARD) # 732-549-2030 - Ext - 305
Gold Seal JCAHO Certified --- for Health Care Staffing
"INC 5000's FASTEST GROWING, PRIVATELY HELD COMPANIES" (8th Year in
Keywords: Integrated Resources Inc, Newark , Coding Auditor (ICD-10), Accounting, Auditing , Newark, New Jersey
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