Auditing and Education Consultant – IP Facility

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 hospital inpatient, outpatient, and/or physician practice interactions.

• Conduct both concurrent and retrospective reviews of medical records as well as audits of coded data.

• Evaluate findings and identify possible root causes of coding discrepancies.

• Compile client summary reports with detailed references that support audit conclusions.

• Offer second-level reviews of processes for legal, procedural, and coding adherence.

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

• Design and deliver coding education to clients based on the results of audits.

• Execute assigned audits while adhering to productivity standards for different record types.

• Maintain billable productive hours at or above 80% when client work is available.

• Prepare client deliverables in accordance with audit scope and deadlines.

• Conduct independent quality assurance checks on assigned audit outcomes prior to final submission, ensuring a minimum accuracy rate of 95%.

• Accurately and promptly report work hours and outputs.

• Foster teamwork and knowledge sharing through effective communication with colleagues.

• Engage professionally with clients to align with business interests.

• Keep management informed about planned work activities, events, locations, and any changes.

• Uphold professional credentials and stay updated on current coding, reimbursement, and compliance knowledge.

• Perform additional assigned tasks as needed.

⛳️ Requirements

• Significant experience in inpatient facility coding and auditing; a minimum of 5 years is required.

• Coding certification is mandatory; CCS is preferred, while CIC, RHIT, or RHIA credentials are also considered.

• A recognized credential from AHIMA or AAPC is necessary.

• Experience with telecommuting and electronic medical record systems is essential.

• Strong analytical skills are required.

• Proficiency in computer skills, particularly with Microsoft Office applications.

• Ability to manage multiple and varied clients and projects effectively.

• Capability to work with minimal supervision.

• Ability to maintain and access various files efficiently.

• Ability to produce work products with a high degree of accuracy and attention to detail.

• Experience in coding and/or auditing within an acute care facility, clinic, or similar relevant background is preferred.

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

• Capacity to lift and move materials weighing up to 20 lbs. occasionally.

• Commitment to maintaining the privacy and confidentiality of patient and client information.

• Adherence to AHIMA Standards of Ethical Coding, official coding guidelines, and compliance practices is required.

🏝️ Benefits

• Opportunities for professional development and personal growth.

• Flexible remote work arrangement.

• Continuing education to sustain professional credentials and enhance knowledge in coding, reimbursement, and compliance.