outpatient coding AuditorCGI

Position Description: The Outpatient Coding Auditor is a member of the CGI Healthcare Payment Integrity Team with responsibility for rendering appropriate, well-supported, and thoroughly-documented decisions which may result in the identification of Position Description: The Outpatient Coding Auditor is a member of the CGI Healthcare Payment Integrity Team with responsibility for rendering appropriate, well-supported, and thoroughly-documented decisions which may result in the identification of improper payments on paid claims to various providers of clinical services, including outpatient hospital, ambulatory surgical centers, Home Health and DME providers. Ongoing training and education are provided specific to the audit processes, industry changes and other topics as needed. In addition to coding and reimbursement expertise, this remote position requires a self-motivated, organized, detail-oriented person with superior critical thinking and communication skills. Your future duties and responsibilities: Review medical records to identify recovery opportunities on claims for Outpatient, Professional and Allied Services, Correctly interprets and utilize reference materials, including coding standards and guidelines, CPT Assistant, Coding Clinic for Outpatient and client payment polices. Provides ongoing input to the Edit Development team on claims selection criteria and new recovery concepts. Complies with department standards regarding productivity and audit quality and performs other duties as assigned. Required qualifications to be successful in this role: Current AHIMA or AAPC credentials ( RHIT or RHIA and CCS-P, CPC,or CPC-H/COC) Extensive knowledge of ICD 9/10 and CPT/HCPCS coding and APC reimbursement. Minimum 5 years outpatient coding experience Understanding of Medicare/Medicaid and Commercial provider reimbursement methodologies Solid working knowledge of computer functions and applications such as Microsoft Office (Outlook, Word and Excel) and Windows operating systems The ability to write a well-reasoned review in a narrative style with correct spelling, grammar, punctuation and sentence structure is required for success in this position. Desired qualifications/non-essential skills required: -Trucode/Encoder/CAVO -Orthopedics, Cardiovascular, Plastic Surgery, Ophthalmology and/or Interventional radiology specialty coding -Prepay and /or Post Pay edits -Team oriented Est. Salary Range (Colorado Only): $52k-$87k* *Disclaimer: In accordance with Colorado's Equal Pay for Equal Work Act, effective January 1, 2021, a good faith hourly or base salary range must be posted for all positions where the work may be performed in the state of Colorado. Therefore, this good faith salary range will only apply where this described position will be performed in the state, and should not be considered the compensation range in other locations or for other positions. At CGI we call our professionals members to reinforce that all who join our team are, as owners, empowered to participate in the challenges and rewards that come from building a world-class company. CGIs benefits include: Competitive base salaries Eligibility to participate in an attractive Share Purchase Plan (SPP) in which the company matches dollar-for-dollar contributions made by eligible employees, up to a maximum, for their job category 401(k) Plan and Profit Participation for eligible members Generous holidays, vacation, and sick leave plans Comprehensive insurance plans that include, among other benefits, medical, dental, vision, life, disability, out-of-county emergency coverage in all countries of employment Back-up child care, Pet insurance, a Member Assistance Program, a 529 college savings program, a personal financial management tool, lifestyle management programs and more Skills: Auditing (Claims) Communication (Oral/Written) ICD-9-CM Coding System Microsoft Office What you can expect from us: Build your career with us. It is an extraordinary time to be in business. As digital transformation continues to accelerate, CGI is at the center of this change-supporting our clients' digital journeys and offering our professionals exciting career opportunities. At CGI, our success comes from the talent and commitment of our professionals. As one team, we share the challenges and rewards that come from growing our company, which reinforces our culture of ownership. All of our professionals benefit from the value we collectively create. Be part of building one of the largest independent technology and business services firms in the world. Learn more about CGI at . No unsolicited agency referrals please. CGI is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, ethnicity, ancestry, color, sex, religion, creed, age, national origin, citizenship status, disability, pregnancy, medical condition, military and veteran status, marital status, sexual orientation or perceived sexual orientation, gender, gender identity and gender expression, familial status, political affiliation, genetic information, or any other legally protected status or characteristics. CGI provides reasonable accommodations to qualified individuals with disabilities. If you need an accommodation to apply for a job in the U.S., please email the CGI U.S. Employment Compliance mailbox at . You will need to reference the requisition number of the position in which you are interested. Your message will be routed to the appropriate recruiter who will assist you. Please note, this email address is only to be used for those individuals who need an accommodation to apply for a job. Emails for any other reason or those that do not include a requisition number will not be returned . We make it easy to translate military experience and skills! Click to be directed to our site that is dedicated to veterans and transitioning service members. All CGI offers of employment in the U.S. are contingent upon the ability to successfully complete a background investigation. Background investigation components can vary dependent upon specific assignment and/or level of US government security clearance held. Qualified applicants with arrest and conviction records are welcome to apply. CGI will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with CGI's legal duty to furnish information.
Monster

Philippines
Permanent
Full-time