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Outpatient Coding Auditor
- AnMed Health (Anderson, SC)
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Located in the heart of Anderson, South Carolina, AnMed is a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. At AnMed, our mission is simple yet powerful:
To provide exceptional and compassionate care to all we serve.
AnMed has been named one of the Best Employers in South Carolina by Forbes, reflecting our commitment to a supportive, inclusive, and purpose-driven workplace. Whether you're just starting your career or looking to grow in a new direction, you'll find opportunities to thrive, lead, and make a meaningful impact here.
Performs coding compliance audits of outpatient accounts according to coding rules and guidelines.
Duties & Responsibilities
+ Reviews outpatient medical records and validates the appropriate ICD-10 codes and CPT codes.
+ Maintains documentation of audits performed.
+ Review accounts returned for medical necessity regarding diagnosis issues.
+ Conducts a quarterly compliance audit of outpatient accounts.
+ Performs concurrent reviews on new employees.
+ Assists in reviewing RAC denials and all coding changes submitted by payers.
+ Assists in reviewing Emergency Room denials for Evaluation and Management (E/M).
+ Conduct education sessions as needed.
+ Performs other duties as assigned.
Qualifications
+ High school diploma or GED required • RHIA, RHIT and/or CCS.
+ CPC with minimum of 3 years’ experience.
+ Strong Background in Anatomy, Physiology and Medical Terminology.
+ RHIA or RHIT and/or CCS.
+ Minimum of five years of experience in outpatient coding in an acute care hospital setting.
Benefits *
+ Medical Insurance & Wellness Offerings.
+ Compensation, Retirement & Financial Planning.
+ Free Financial Counseling.
+ Work-Life Balance & Paid Time Off (PTO).
+ Professional Development.
+ For more information, please visit: anmed.org/careers/benefits
*Varied benefits packages are available for positions with a 0.6 FTE or higher.
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