TruBridge is actively seeking an experienced Outpatient Surgery Auditor with infusion and injection experience The Same Day Surgery Auditor is responsible for conducting detailed reviews of surgical cases to ensure accurate code assignment in accordance with ICD-10-CM/PCS, and other official coding guidelines. The auditor supports organizational compliance, identifies coder education needs, and ensures optimal coding accuracy for reimbursement and reporting purposes. Experience with Inpatient PCS (Procedure Coding System) and surgical CPT is required
Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:
- Perform retrospective and concurrent audits of inpatient medical records to assess coding accuracy, completeness, and compliance with official guidelines.
- Analyze patterns of coding errors and collaborate with Coding Managers to develop training and improvement plans.
- Prepare clear and detailed audit reports with recommendations for correction or education.
- Communicate audit results to coders and leadership in a constructive, supportive manner.
- Participate in coding quality assurance initiatives and internal or external compliance audits.
- Maintain up-to-date knowledge of ICD-10-CM/PCS, CMS regulations, Official Coding Guidelines, and industry best practices.
- Provide guidance and clarification to coding staff on documentation and coding interpretation.
- Assist in onboarding and training of new same day surgery coders as requested.
Minimum Requirements:
Education/Experience/Certification Requirements
- Minimum 3 years Same Day Surgery auditing experience
- Excellent communication (written and oral) and interpersonal skills.
- Strong organizational, multi-tasking, and time-management skills.
- Must be detail oriented and able to follow through on issues to resolution.
- Must be able to act both independently and as a team member.
- Must be credentialed through AHIMA or AAPC.
- Must have experience assigning injection and infusion charges.
- Familiarity with electronic health record (EHR) systems and computer-assisted coding (CAC) tools
- Ability to interpret medical record documentation and apply coding rules accurately
- Why join our team?
- Work remotely with a work/life balance approach
- Robust benefits offering, including 401(k)
- Generous time off allotments
- 10 paid holidays annually
- Employer-paid short term disability and life insurance
- Paid Parental Leave
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