Auditing and Education Consultant

This is a fully remote position, open to applicants in United States.

📋 Description

• Assess the assignment of ICD-10, CPT, and/or HCPCS codes by client coders for encounters in hospital inpatient, outpatient, and physician practice settings.

• Conduct intricate concurrent and retrospective medical record analyses to verify the accuracy of coded data.

• Examine results and pinpoint potential root causes of discrepancies.

• Compile audit summary reports with detailed supporting references for clients.

• Offer second-level process evaluations concerning legal, procedural, and coding compliance.

• Investigate, analyze, and address inquiries related to compliance, coding, and denials.

• Create and present coding education to clients as part of the Consulting Services Team.

• Execute assigned audits while adhering to productivity standards, aiming for an expected billable productivity rate of at least 80% when client work is accessible.

• Generate client deliverables within the scope and timelines of audits.

• Perform independent quality assurance of assigned audit outcomes prior to final QA submission, maintaining a minimum accuracy rate of 95%.

• Accurately and promptly report work hours and output.

• Engage and collaborate professionally with colleagues and clients.

• Provide management with organized work schedules, activities, events, locations, and any changes.

• Undertake additional assigned responsibilities.

⛳️ Requirements

• Valid credential from AHIMA or AAPC.

• Required experience with telecommuting and electronic medical record systems.

• Over 5 years of coding and/or auditing experience in an acute care facility or clinic, or equivalent experience.

• Exceptional analytical capabilities.

• Proficient in computer skills, especially with Microsoft Office applications.

• Capability to work with a diverse range of clients and projects.

• Ability to operate with minimal supervision.

• Competence in maintaining and accessing multiple files.

• High levels of accuracy and meticulous attention to detail.

• Ability to work at a computer terminal for 6–8 hours per day.

• Occasionally lift and move materials weighing up to 20 lbs.

• Commitment to maintaining professional credentials through ongoing education.

• Ability to safeguard patient and client information confidentiality while adhering to official coding guidelines, compliance standards, and the Standards of Ethical Coding.

• Willingness to travel periodically, as necessary.

🏝️ Benefits

• Investment in professional development and personal growth.

• Opportunities for continuing education to uphold professional credentials and enhance knowledge in coding, reimbursement, and compliance.

• Flexible remote work arrangement.