Auditing & Education Consultant – IP Facility, IP/OP

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 inpatient, outpatient, and/or physician practice encounters.

• Conduct thorough concurrent and retrospective reviews of inpatient medical record documentation.

• Ensure the accuracy of coded data by referencing AHA, CMS, AHIMA, Coding Clinic, and official ICD-10 guidelines.

• Examine findings to identify potential root causes of errors.

• Compile client summary reports that include specific references substantiating audit findings.

• Offer second-level reviews of processes to ensure legal, procedural, and coding compliance.

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

• Safeguard the privacy and confidentiality of patient and client information.

• Develop and deliver coding education to clients as part of the Consulting Services Team.

• Execute assigned audits while adhering to productivity standards, achieving a minimum billable productivity threshold of 80% when client work is available.

• Prepare audit deliverables and adhere to specified timelines.

• Conduct independent quality assurance of audit results, ensuring a minimum expected accuracy rate of 95%.

• Accurately and promptly report work time and deliverables.

• Professionally communicate and collaborate with coworkers and clients.

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

• Maintain professional credentials and knowledge through ongoing education.

• Travel occasionally, as necessary.

• Perform other assigned tasks.

⛳️ Requirements

• Significant experience in auditing inpatient facilities, or a blend of inpatient and outpatient facility experience.

• Active AHIMA or AAPC credential; CCS, RHIT, CPC preferred.

• At least 5 years of current experience in inpatient and outpatient coding and/or auditing within an acute care hospital or a similar consulting environment.

• Valid credential recognized by AHIMA or AAPC.

• Knowledge of inpatient reimbursement methodologies, regulatory compliance, and best practices in auditing.

• Strong analytical, problem-solving, and critical-thinking abilities.

• Proficient in computer skills, particularly with Microsoft Office products.

• Capability to translate complex regulatory requirements into clear, client-oriented guidance.

• Experience with various electronic health records, including EPIC, Powerchart, and Meditech.

• Excellent written and verbal communication skills suitable for both executive-level and operational audiences.

• Ability to manage multiple client engagements independently while meeting quality and productivity standards.

• High attention to detail and a commitment to accuracy and ethical practice.

• Effective functioning in a remote work environment.

• Required experience with telecommuting and electronic medical record systems.

• Capacity to work with diverse clients and projects.

• Ability to operate with minimal supervision.

• Competence in maintaining and accessing multiple files.

• Ability to produce work products with high levels of accuracy and meticulous attention to detail.

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

• Ability to occasionally lift and move materials weighing up to 20 pounds.

🏝️ Benefits

• Opportunities for professional development and personal growth.

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

• Remote work position.

• Occasional travel, as necessary.

• Reasonable accommodations may be provided for individuals with disabilities.