ProFee/Outpatient Auditor

Description

POSITION:           ProFee/Outpatient Auditor

STATUS:                Full-Time

LOCATION:          Remote

SCHEDULE:          Monday through Friday

FLSA STATUS:      Non-Exempt / Eligible for Overtime

POSITION SUMMARY:

Audit ProFee records to determine appropriate designation of diagnosis and procedure codes while maintaining compliance with coding guidelines and client guidelines.

POSITION RESPONSIBILITIES:

• Perform validation audits by analyzing, evaluating, and reviewing client (facility and/or physician) medical records to ensure accuracy of code assignment
• Complete worksheets, spreadsheets and/or database entry based on audit findings
• Demonstrate proficiency in coding classification systems ICD-10-CM, CPT, and HCPCS (including E/M coding) while maintaining a 95% accuracy
• Follow and adhere to NCCI edits, CPT assistants, and AHA coding guidelines
• Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies
• Maintain productivity based on national standards and/or client specific standards
• One-on-One Mentoring reviews and calls with coders
• Occasional productive coding of ProFee records as needed by ProFee Coding teams
• Work as a team player in a dynamic environment on multiple projects
• Other duties as assigned based on company needs and client projects.

Requirements

CERTIFICATION(s) / EXPERIENCE:

• RHIA/RHIT/CCS/CCS-P/CPC credential(s), required (at least one HIM/Coding credential)
• Basic knowledge and experience in Microsoft Office applications (Excel, Office, Word, Sharepoint, etc…), required
• Knowledge and 5 to 7 years of experience in ProFee coding, required
• Minimum 3 to 5 years of experience in ProFee auditing, preferred
• Experience with Cerner Powerchart, preferred
• Experience with EPIC, preferred
• Experience with TruCode, a plus
• Knowledge of general surgery and multiple specialty surgical procedures, required
• Knowledge of Interventional Radiology experience, a plus

BENEFITS:

We offer a comprehensive and robust benefit package.

• 401(k) Retirement
• 401(k) Retirement Company Matching
• Bonuses (per clients’ request)
• Collaborative Team Environment
• Company Supplied Equipment
• Continuous Education with Approved CEs
• Cross-Training Opportunities for Career Growth
• Dental Insurance
• Disability Insurance (Short-Term and Long-Term)
• Health Insurance (Nationwide Coverage)
• Holiday Shift Differential Pay (per clients’ request)
• Life Insurance
• Overtime Pay (per clients’ request)
• Paid Holidays, Sick, and Vacation Time
• Vision Insurance

EQUAL EMPLOYMENT OPPORTUNITY:

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. We are a participant of E-Verify.