Outpatient Auditor

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

📋 Description

• Conduct regular quality assurance evaluations for clients.

• Perform onboarding quality assurance assessments for newly hired consultants.

• Offer training to newly hired coding consultants as necessary.

• Communicate quality concerns to management.

• Assist in identifying, drafting, implementing, and monitoring quality improvement action plans.

• Maintain reports and accuracy metrics for coding consultants and clients.

• Address client quality assurance requirements as directed by management.

• Conduct educational sessions on error trends for coding consultants.

• Inform management about compliance issues or incidents.

• Handle patient information appropriately, ensuring confidentiality and discretion.

• Participate in educational conference calls.

• Provide coding support to the business as necessary.

• Undertake other project-related duties as required.

• Uphold required productivity and quality standards.

• Meet coding credential requirements.

• Perform quality assurance evaluations of outpatient coding specialists or external providers across various facility-based chart types.

• Validate accurate data abstraction into client electronic medical record systems.

• Adhere to ICD-10-CM, CPT, HCPCS, AMA CPT, and CMS coding guidelines.

• Track and analyze educational opportunities and report on quality outcomes.

• Provide educational support and training to coders and providers.

• Maintain a coding auditing accuracy rate of 95% or higher while achieving productivity standards.

⛳️ Requirements

• Candidates must hold an approved AHIMA or AAPC coding credential.

• A minimum of 4 years of coding experience is required.

• Specialty experience may be preferred based on specific client needs.

• A minimum of 2 years of auditing experience is preferred.

• At least 2 years of remote experience is recommended.

• Applicants for U.S.-based positions must be legally authorized to work in the United States.

• Verification of employment eligibility will be required at the time of hire.

• Visa sponsorship is not available.

• Knowledge of HIPAA Privacy and Security Regulations is essential.

• Familiarity with Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding is required.

• Awareness of AMA CPT Guidelines and CMS directives is necessary.

• Excellent collaboration skills are essential.

• Strong analytical and problem-solving skills are required.

• A consistent initiative with a strong drive for results and success is necessary.

• A commitment to a team-oriented environment is essential.

• Well-developed written, verbal, and presentation communication skills are required.

• Deep listening skills and attention to detail are essential.

• Ability to self-motivate and self-direct is necessary.

• Strong time management and organizational skills are required.

• Commitment to and adherence to the company Core Values is essential.

• A high level of integrity and ethical judgment is necessary.

• Consistency, reliability, and meeting standards in communication are required.

🏝️ Benefits

• Competitive salary.

• Comprehensive benefits package.

• 401(k) plan with company matching.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Life insurance.

• Short-term disability insurance.

• Long-term disability insurance.

• Paid Time Off (PTO) policy.

• Remote work from a home office environment.