Profee Audit Specialist

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

📋 Description

• Conduct audits of medical records and abstracts for Professional Fee coding using ICD-10-CM, CPT, HCPCS, modifiers, and relevant coding references.

• Offer clear justifications for any coding modifications identified, including documentation references and specific locations.

• Manage and prioritize multiple cases at once to ensure efficient workflow and resolution.

• Create and present virtual coder education programs, including webinars, presentations, training materials, and educational resources.

• Recognize coding trends, audit outcomes, and areas requiring additional knowledge, and develop focused educational content to address these gaps.

• Collaborate with leadership and clients to design, create, and maintain educational materials, reference tools, and learning resources.

• Act as a subject matter expert by delivering presentations on coding and compliance topics to coders, providers, and healthcare stakeholders.

• Maintain a professional, efficient, and positive approach to work.

• Handle high-complexity functions and make informed decisions.

• Stay updated on regulatory changes.

⛳️ Requirements

• Over 5 years of experience in Professional Fee coding and/or auditing, with a significant focus on auditing.

• More than 3 years of experience in creating and presenting Professional Fee education.

• Experience in multi-specialty coding/auditing.

• CPC certification is required.

• CPMA certification is preferred.

• Proficient in Professional Fee coding across multiple specialties, including E/M, Advance Care Planning (ACP), and surgical coding.

• Ability to multitask across various clients.

• Proficiency in Microsoft Office applications, including Excel, PowerPoint, and OneNote.

• Maintain an accuracy rate of 95% or higher.

• Experience with Epic, Cerner, and other widely used EMRs.

• Commitment to adhering to the AAPC code of ethics.

• Strong customer service orientation, professionalism, flexibility, dependability, eagerness to learn, dedication to excellence, and a commitment to the profession.

• Excellent organizational, teamwork, and leadership abilities.

• Ability to remain informed about regulatory changes.

• Must reside in the United States; this position does not offer employment sponsorship.

• May need to complete post-offer health screenings and provide vaccination proof based on client requirements.

🏝️ Benefits

• $2,500 sign-on bonus.

• Medical, dental, and vision benefits.

• 401(k) savings plan with matching contributions.

• 2 weeks of paid time off.

• Paid holidays.

• Floating holidays.

• Complimentary CEUs every year.

• Stipend for education and professional dues (AHIMA/AAPC), if applicable.

• Provided equipment includes a monitor, laptop, mouse, headset, and keyboard.

• Comprehensive training conducted by a credentialed professional coding manager.

• Exceptional service-oriented management and mentorship.