Affordable Housing Trust for Columbus and Franklin County

Medical Billing and Coding

• Code and audit a variety of records including interventional radiology, cardiology, cardiac cath’s, cardiothoracic surgery, vascular surgery, general surgery and orthopedics
• Utilize and enhance coding expertise in a remote work environment

Interventional Radiology Coder

Auditor

• Perform high-level, secondary case reviews to ensure accurate and comprehensive provider documentation.
• Perform CDI audits
• Assess documentation alignment with ICD-10-CM/PCS, MS-DRG/APR-DRG, and payer guidelines
• Identify missed or inappropriate diagnoses, procedures, CCs/MCCs, and severity of illness (SOI) / risk of mortality (ROM) opportunities
• Analyze audit findings and prepare detailed reports with trends, risks, and improvement opportunities
• Provide feedback and education to CDI specialists, coders, and clinical staff

CDI Auditor

Consultant

• Contribute to the growth of UASI’s offerings by supporting business development and marketing initiatives
• Drive growth within existing offerings through identification of new opportunities, collaboration with Sales Team, and cultivating trusted relationships with our clients by using SME to demonstrate value.
• Possess a strong body of knowledge and expertise specifically with CDI Services, UR, Denials Management, Value Based Care and Risk Adjustment models as well as solid knowledge in overall mid-revenue cycle operations with a demonstrated understanding of industry trends and drivers.
• Serve as a SME to sell and support the sales team with gaining credibility with clients, crafting proposals, creating the scope of work, and strategies to drive growth of consulting engagements.
• Contribute to thought leadership strategy through a variety of methods including webinars, marketing campaigns, white papers, and speaking engagements.
• Ensure client deliverables meet expected levels through effective client management and project management.
• Utilize strong client communication skills by guiding the client through project status meetings, influencing key stakeholders, and ensuring project scope and deliverables are on target.
• Work closely within project team to understand and identify client obstacles and adapt project workflow and direction to ensure results align with client goals.
• Use critical thinking skills to synthesize client input, interpret complex data and translate that into actionable recommendations.
• Utilize effective project management skills to clearly define client deliverables and establish milestones through efficient organization and project planning skills.
• Provide mentoring and training to consulting staff by sharing expertise related to project deliverables, client communication, project methodologies, analysis of data and trends, etc. all within a collaborative and supportive structure.
• Contribute to strategy through solutions development and an understanding of market trends and industry drivers.
• Collaborate across service lines to identify and deliver innovative solutions that create client value through the sharing of resources, knowledge, and best practices.

Managing Consultant

• Perform inpatient coding audits and review services to client sites remotely from a home office
• Work with clients performing coding audit and/or review services on a variety of Inpatient facility record types
• Identify trends based on coding audit and review findings and formulate recommendations for corrective action plans
• Perform necessary research to provide to the client to support findings
• Provide in-service education to clients on specific coding trends identified, as requested
• Assist in the design and presentation of educational seminars to clients and staff
• Work with other members of the HIM Consulting Division on Senior Level Projects

Inpatient Coding Auditor

• Join Our Award-Winning Team and Work with the Best!
• We are thrilled to share that UASI has been recognized as a Top Workplace by the Cincinnati Enquirer in both 2022 and 2023.
• With over 40 years of experience and enduring partnerships with our valued clients, we are proud of the stability we’ve built and the long-term success of our dedicated team.
• At UASI, we offer HIM professionals the perfect balance: an exciting and fulfilling role that challenges you to utilize and enhance your coding expertise, combined with the flexibility and comfort of working from home.

Inpatient Coding Specialist

• Completes clinical review of pre- and post-claim denials
• DRG Denials
• Perform a variety of audit services including charge audit, compliance audit, medical necessity, denials and other requests as needed. Audits may be performed on a concurrent or retrospective basis
• Review and analyze the client inpatient and/or outpatient itemized billing statement and the patient medical record and related documentation to identify items that were not billed correctly.
• Document findings on appropriate form and submit findings to client management staff daily so new billing forms can be generated in hospitals billing systems.
• Adhere to the National Health Care Billing Audit Guidelines, UASI Code of Conduct and Compliance Program, and the client third party audit policy while performing all duties.
• Attend meetings with members of client-hospital finance, medical records, and ancillary departments.
• Educate Client-Hospital personnel on validation and documentation of charges if requested by client contract relationship.
• Navigate hospitals medical record system and understand where to locate the financial information in relation to the patient payor billing information

Nurse Charge Auditor

Medical writer

• Review and evaluate medical record documentation for completeness, accuracy, and compliance.
• Collaborate with physicians, nurses, and coding professionals to ensure appropriate clinical documentation.
• Identify opportunities for documentation improvement to support coding accuracy, reimbursement, and clinical outcomes.
• Analyze medical records to ensure documentation supports quality care and appropriate reimbursement.
• Formulate compliant, clinically sound physician queries.

Clinical Documentation Improvement Specialist

• Utilize and enhance your coding expertise in an exciting and fulfilling role.
• Work independently and maintain quality conscious attitude.
• Adapt well to change in a reputable, award-winning company.

Inpatient Medical Coder

Clinical Documentation Integrity Specialist

• perform accurate code assignments for facility outpatient, same day surgery and observation records
• utilize and enhance coding expertise

Outpatient Facility Coder

• Conducting inpatient coding reviews and SMART audits
• Providing feedback and education