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  • Outpatient Coding Auditor

    AnMed Health (Anderson, SC)



    Apply Now

    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.

     


    Apply Now



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  • Outpatient Coding Auditor
    AnMed Health (Anderson, SC)
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