Auditing & Education Consultant – Professional Fee

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

📋 Description

• Acts as a consultant by assessing the coding assignments of clients’ coders in relation to ICD-10, CPT and/or HCPCS codes for hospital inpatient, outpatient, and/or physician practice encounters.

• Conducts either concurrent or retrospective reviews to inventory code assignments and provides reports to the client.

• Creates and presents educational materials to clients concerning audit findings.

• Validates coded data as recognized by AHA, CMS, AMA, AHIMA, AAPC, Coding Clinic, and CPT Assistant within the professional fee billing framework.

• Analyzes results and identifies potential root causes of errors produced.

• Compiles summary reports of findings for clients, including specific references that support the conclusions in the audit report.

• Provides second-level review of processes to confirm adherence to legal and procedural policies, ensuring accurate code assignments.

• Researches, analyzes, and addresses inquiries related to compliance, coding, and denials.

• Functions as part of the Consulting Services Team, which develops and offers coding education to clients.

• Conducts audits as assigned, meeting productivity standards for each audit type.

• Prepares deliverables for clients as required by the audit scope while adhering to timelines.

• Performs independent quality assurance on assigned audit results before final submission for QA review and approval.

• Accurately and promptly reports work hours and completed products.

• Communicates with colleagues in a respectful and open manner, fostering teamwork and knowledge sharing.

• Engages with clients professionally, demonstrating excellent relationships, work performance, and communication skills to support the company and its business objectives.

• Provides management and relevant staff with a schedule of planned work activities, events, and any changes.

• Maintains professional credentials and stays updated on coding, reimbursement, and compliance issues through ongoing education.

⛳️ Requirements

• Minimum of 5 years of experience in professional fee auditing (profee).

• E/M leveling coding certification from AHIMA or AAPC is mandatory (CPC, COC, CIC, CCS, RHIT, RHIA).

• Required experience with telecommuting and electronic medical record systems.

• Strong analytical skills are essential.

• Proficient in using computer applications, particularly Microsoft Office products.

• Strong ability to work as part of a team.

• Capable of managing multiple and diverse clients and projects.

• Ability to work with minimal supervision.

• Ability to maintain and access multiple files effectively.

• Ensure that all work products are completed with a high degree of accuracy and attention to detail.

🏝️ Benefits

• We invest in YOU to build long-term careers.

• Requires a minimum of 5 years in professional fee auditing (profee) along with E/M leveling coding certification from AHIMA or AAPC (CPC, COC, CIC, CCS, RHIT, RHIA).

• Required experience with telecommuting and electronic medical record systems.

• Strong analytical skills are a must.

• Proficiency in Microsoft Office products is essential.

• A strong team player is highly valued.

• Capability to work with a variety of clients and projects is necessary.

• Ability to operate with minimal supervision is required.

• Must be able to maintain and access multiple files efficiently.

• Ensure the work produced is of high accuracy and attention to detail.