Affordable Housing Trust for Columbus and Franklin County

Auditor

• 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 – PRN

• Perform coding audits and reviews on a variety of professional fee record types including: Evaluation and Management, CPT, hospitalist, annual well visits, inpatient pro-fee and outpatient pro-fee
• Perform coding audits and reviews on a variety of specialties, such as: Primary Care, ENT, Nephrology, Urology, Cardiology, Thoracic, Neurology, Emergency Department, Obstetrics and Gynecology, Behavioral Health, Ophthalmology, Endocrinology etc.
• Perform necessary research in order to provide the client with supportive regulatory and coding guideline documentation. Examples of this research include but is not limited to: Official Coding Guidelines, Medicare/Medicaid Claims Processing Manual, Office of Inspector General guidance, Local/National coverage determinations and transmittals, and National Correct Coding Initiatives
• 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 such as assessment and analysis, development of tools to assist in the audit process, development of education for staff, develop coding test material for applicants and develop coding content for short articles with coding advice for clients

Profee Coding Auditor

• Utilize coding expertise to perform quality reviews on coding staff including offshore coders
• Use audit tool to analyze quality results and track overall quality.
• Work with the Managers and Supervisors across Coding Solutions to perform coding quality audits on UASI Coders.
• Perform necessary feedback and research to Coders in response to coding questions.
• Provide education to Coders as needed based on audit findings.
• Identify trends and perform training to improve Coder quality.
• Work with Managers and Supervisors to identify performance needs of Coders and create training to increase performance levels.
• Comply with UASI’s policies regarding the use and disclosure of protected health information which includes accessing and using protected health information only to the extent necessary to fulfill the above-mentioned responsibilities.

Inpatient Coding Auditor

• 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 Auditor – PRN

Manager

• Provide support, direction, and technical assistance to Coding staff.
• Manage the staffing needs for assigned clients through identifying needs and taking ownership with Staffing Teams to fill openings with the highest quality candidates efficiently.
• Monitor the productivity, quality, and utilization levels within the Coding team to ensure client satisfaction is achieved.
• Participate on the interview team and evaluate candidates and staff for openings and mentor staff providing guidance and opportunities for professional development.
• Manage and approve the scheduling requests of staff to ensure adequate coverage.
• Review and approve timesheets and ensure time and invoices are accurate.
• Provide mentoring and training to 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.
• Collaborate with the Client Success Teams to identify client needs and best practices to ensure UASI is providing the highest service levels.
• Collaborate with the CQR Team to ensure quality expectations are achieved and opportunities for development of staff are identified.
• Be a talent magnet and leverages professional network and demonstrate expertise through market facing activities including professional organizations, speaking, or serving as a UASI Ambassador.
• Comply with UASI’s policies regarding the use and disclosure of protected health information which includes accessing and using protected health information only to the extent necessary to fulfill the above-mentioned responsibilities.

Coding Manager

• Performs coding quality audits and reviews on a variety of facility outpatient records including but not limited to: same day surgery, observations and ED
• Provides feedback and education to coding staff
• Extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records
• Assists in developing educational training content and materials for coding staff
• Presents educational seminars to clients and staff
• Work with other members of the Consulting Division on Senior Level Projects such as assessment and analysis, development of tools to assist in the audit process, develop coding test material for applicants and develop coding content for short articles with coding advice for clients

Outpatient Coding Auditor

Consultant

• 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.

CDI Consultant

• Perform coding audits and reviews on a variety of professional fee record types including: Evaluation and Management, surgical CPT, hospitalist, annual well visits, inpatient pro-fee and outpatient pro-fee
• Perform coding audits and reviews on a variety of specialties, such as: Primary Care, ENT, Nephrology, Urology, Cardiology, Thoracic, Neurology, Emergency Department, Obstetrics and Gynecology, Behavioral Health, Ophthalmology, Endocrinology etc.
• Perform necessary research in order to provide the client with supportive regulatory and coding guideline documentation. Examples of this research include but is not limited to: Official Coding Guidelines, Medicare/Medicaid Claims Processing Manual, Office of Inspector General guidance, Local/National coverage determinations and transmittals, and National Correct Coding Initiatives
• 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 such as assessment and analysis, development of tools to assist in the audit process, development of education for staff, develop coding test material for applicants and develop coding content for short articles with coding advice for clients

Coding Auditor

• Senior Consultant Auditor positions at UASI allow HIM professionals to have the best of both worlds: a challenging opportunity to utilize and enhance current auditing/coding skills and the convenience of working from home.
• Perform coding audits on a variety of facility outpatient record types while working remotely from a home office.
• Flexible, detail-oriented, ability to work independently, be quality conscious and able to adapt well to change.

• 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, including online searches, pulling CMS transmittals and program memorandums
• 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 such as ICD-10 assessment and analysis, development of tools to assist in the audit process, development of education for staff, develop coding test material for applicants and develop coding content for short articles with coding advice for clients
• Utilize UASI audit software and securely transfer files in compliance with HIPAA; finalize and present impartial audit findings

• Utilize coding expertise to perform quality reviews on internal coders.
• Use audit tool to analyze quality results and track overall quality.
• Work with the Managers and Supervisors across Coding Solutions to perform coding quality audits on UASI Coders.
• Perform necessary feedback and research to Coders in response to coding questions.
• Provide education to Coders as needed based on audit findings.
• Identify trends and perform training to improve Coder quality.
• Work with Managers and Supervisors to identify performance needs of Coders and create training to increase performance levels.
• Comply with UASI’s policies regarding the use and disclosure of protected health information which includes accessing and using protected health information only to the extent necessary to fulfill the above-mentioned responsibilities.

Affordable Housing Trust for Columbus and Franklin County

Inpatient Coding Auditor – PRN

Profee Coding Auditor

Inpatient Coding Auditor

Nurse Auditor – PRN

Coding Manager

Outpatient Coding Auditor

CDI Consultant

Coding Auditor

Outpatient Coding Auditor

Inpatient Coding Auditor

Coding Auditor, Educator

Inpatient Coding Auditor & Educator