Job Description:
• Serves in a consulting role by evaluating the work of client’s coders in their assignment of ICD-10, CPT and/or HCPCS codes to hospital inpatient, outpatient and/or physician practice encounters.
• Performs concurrent or retrospective reviews to inventory code assignments and report the data to the client.
• Develops and delivers educational content to clients related to audit findings.
• Perform complex, concurrent and/or retrospective analysis of medical record documentation to validate coded data as recognized by the AHA, CMS, AMA, AHIMA, AAPC, Coding Clinic, and CPT Assistant.
• Analyze findings and identify potential root causes of produced errors.
• Prepare summary reports of findings to clients, supplying specific references supporting findings contained within the provided audit report.
• Provides second-level review of processes to ensure compliance with legal and procedural policies and to ensure appropriate code assignments.
• Research, analyze, and respond to inquiries regarding compliance, coding, and denials.
• Functions as a member of the Consulting Services Team which develop and provide coding education to clients.
• Conduct Audits as assigned meeting the productivity standards as set by record type for each audit.
• Prepare deliverables for the client as required for the audit scope while meeting timelines.
• Conduct independent QA of their assigned audit results prior to final submission for QA review and approval.
• Report work time and work products in a timely and accurate manner.
• Interact with clients in a professional manner that, always, exhibits excellent relationships, work performance and communication skill so as to support the company and its business interests.
Requirements:
• Active certification through AAPC/AHIMA
• 5+ yrs auditing and coding - profee
• Recognized credential from AHIMA or AAPC
• Experience with telecommuting and electronic medical record systems required
• Strong analytical skills
• Proficient computer skills, specifically Microsoft Office products
• Strong team player
• 5+ years’ experience coding and/or auditing in an acute care facility or clinic, of patient types listed in the Job Summary of this document, or other relevant experience.
Benefits:
• We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.