Affordable Housing Trust for Columbus and Franklin County

Client Partner

• Ensure clarity and alignment with clients about UASI services/deliverables and manage client scope and expectations through regular communication and meetings.
• Facilitate client kick off meetings in accordance with the procedures established for Coding services.
• Collaborate with Sales Team to identify new opportunities and ensure client management strategies are executed.
• Use critical thinking skills to assess client current state and goals, conduct operational assessment, and implement actions to meet project and client goals.
• Responsible for ensuring any changes to project scope are documented and any impact on goals deliverables, costs, deadlines, etc. are confirmed and agreed to in writing.
• Be the subject matter expert to lead, monitor and evaluate project results for the client while balancing quality and profitability.
• Manage flow and timing of all client projects and support audit activities by performing audits and consulting engagements as needed.
• Collaborate with the Quality Management (QM) Team and Staff Success Manager to ensure quality expectations are achieved and opportunities for development of staff are identified.
• Ensure client processes and workflows are documented.
• Validate client invoices align with contract parameters including amendments.
• Facilitate project kick off meetings in accordance with the procedures established for Coding services and ensure Coder's expertise is appropriate to achieve project outcomes.
• Monitor and manage client profit margin by monitoring key metrics including productivity, staff utilization, and managing “miscellaneous/non-billable” non-attributable time.
• Responsible for identifying additional solutions opportunities with clients.
• Use expertise to identify new opportunities, collaborate with Sales/Account Management Team, and cultivate trusted relationships with our clients by using SME to demonstrate value.
• Use expertise and project insight to partner with the Sales/Account Management team to create a strategy about solutions UASI could provide.
• Leverages professional network and demonstrate expertise through market facing activities including professional organizations, speaking, or serving as a UASI Ambassador.

Client Success Manager

Clinical Specialist

• Generate comprehensive first-level, second-level, and escalated appeal letters for denied claims.
• Develop compelling clinical arguments using medical records, physician documentation, industry standards, and payer policies.
• Create appeal packages with all required supporting documentation and submit within payer timelines.
• Track appeal status, deadlines, and outcomes to ensure timely follow-up.
• Review and revise appeal content to improve quality, consistency, and overturn success rates.
• Review and assess denials related to:
• Medical necessity
• Level of care
• Clinical validation
• Authorization issues
• Audit findings
• Conduct detailed chart reviews to validate payer rationale and determine appeal viability.
• Analyze denial trends and identify opportunities for overturn and prevention.
• Apply CMS regulations, Medicare guidelines, LCDs, NCDs, payer policies, and industry guidance to support appeal arguments.
• Maintain current knowledge of ICD-10-CM/PCS coding requirements, DRG methodologies, and reimbursement regulations.
• Monitor payer updates and regulatory changes impacting denials and appeals.
• Assist in developing appeal templates, reference materials, and best practices.
• Provide recommendations to improve appeal effectiveness and reduce future denials.
• Contribute to denial prevention initiatives through trend analysis and education.
• Partner with physicians, CDI specialists, case management, utilization review, coding, and HIM teams to strengthen appeal outcomes.

Clinical Denials and Appeals Specialist

Auditor

• Conduct coding audits of outpatient facility services, including ancillary procedures, PET scans, and simple visit encounters, to ensure coding accuracy and regulatory compliance.
• Perform comprehensive audits and reviews of professional Evaluation and Management (E/M) documentation and coding to validate code assignment and reimbursement accuracy.
• Provide ongoing feedback, education, and coaching to coding staff to improve coding quality, consistency, and adherence to coding guidelines.
• Review and analyze clinical documentation and assigned codes from a variety of medical records to ensure accurate ICD-10-CM, CPT, and other applicable code assignment in accordance with current coding standards, regulatory requirements, and client-specific policies and guidelines.

Coding Auditor – Outpatient and Professional E&M

Medical Billing and Coding

• Join an award-winning team and work with the best!
• Use and enhance coding expertise while enjoying the flexibility and comfort of working from home.
• Seek out experienced Surgical Profee Coders who are CPT coding experts in professional billing of surgical cases performed in both inpatient and outpatient settings.

Surgical Profee Coder

• Perform accurate code assignments for facility outpatient, same day surgery and observation records.
• Utilize and enhance coding expertise in an exciting and fulfilling role.
• Work from home with flexibility and comfort.

Outpatient Medical Coder

• Perform comprehensive charge audits for inpatient and outpatient services.
• Review itemized billing statements against medical records to verify accuracy and completeness.
• Identify and document:
• Missing charges
• Duplicate charges
• Unsupported or non-compliant charges
• Validate charges based on clinical documentation, coding rules, and billing guidelines.
• Ensure all billing aligns with:
• CMS and payer requirements
• National healthcare billing audit guidelines
• Organizational compliance standards
• Submit clear, actionable audit findings to revenue cycle teams for correction and rebilling.
• Analyze audit findings to determine root causes and patterns.
• Maintain accurate audit documentation that is clear, traceable, and defensible.
• Track audit outcomes and financial impact.
• Assist in developing recommendations to improve charge capture accuracy and billing processes.
• Partner with:
• Coding and billing teams
• Clinical departments
• Revenue cycle leadership
• Provide guidance on:
• Documentation requirements
• Charge capture practices
• Billing compliance standards
• Support education efforts to prevent recurring audit issues.

Nurse Auditor

• Perform accurate code assignments while working remotely from a home office.
• Adapt well to change and work independently.
• Maintain coding quality of 95% or greater.
• Meet client productivity targets.

Medical Coder

• Perform accurate code assignments for ED records (facility and profee)
• Work remotely from a home office
• Utilize and enhance current coding skills
• Maintain coding quality of 95% or greater
• Adapt well to change and demonstrate flexibility

ED Coder

• 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

• 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.