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Auditing & Education Consultant – Professional Fee
CorroHealthConsulting role evaluating the work of client’s coders in their assignment of ICD-10, CPT codes. Delivering educational content to clients related to audit findings and compliance.
About the role
Key responsibilities & impact- 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.
- Validate coded data as recognized by the AHA, CMS, AMA, AHIMA, AAPC, Coding Clinic, and CPT Assistant within the professional fee billing model.
- 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.
- Communicates with coworkers in an open and respectful manner that promotes teamwork and knowledge sharing.
- Interact with clients in a professional manner that exhibits excellent relationships, work performance and communication skills to support the company and its business interests.
- Provide schedule of planned work activities, events and sites, and any changes to same, to Management and appropriate staff.
- Maintenance of professional credentials and knowledge of coding, reimbursement, and compliance issues through continuing education.
Requirements
What you’ll need- 5+ years of auditing in professional fee (profee)
- E/M leveling Coding certification through AHIMA or AAPC required (CPC, COC, CIC, CCS, RHIT, RHIA)
- Experience with telecommuting and electronic medical record systems required.
- Strong analytical skills.
- Proficient computer skills, specifically Microsoft Office products.
- Strong team player.
- Ability to work with multiple and diverse clients and projects.
- Ability to work with minimal supervision.
- Ability to maintain and access multiple files.
- Assure that work product is completed with high levels of accuracy and attention to detail.
Benefits
Comp & perks- We build long-term careers by investing in YOU.
- Must have 5+ years of auditing in professional fee (profee) with E/M leveling Coding certification through AHIMA or AAPC required (CPC, COC, CIC, CCS, RHIT, RHIA)
- Experience with telecommuting and electronic medical record systems required.
- Strong analytical skills.
- Proficient computer skills, specifically Microsoft Office products.
- Strong team player.
- Ability to work with multiple and diverse clients and projects.
- Ability to work with minimal supervision.
- Ability to maintain and access multiple files.
- Assure that work product is completed with high levels of accuracy and attention to detail.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10 codingCPT codingHCPCS codingE/M leveling codingauditingdata analysisquality assurancecompliance reviewreport writingeducational content development
Soft Skills
analytical skillsteam playercommunication skillsattention to detailindependent worktime managementclient interactionproblem-solvingprofessionalismknowledge sharing
Certifications
CPCCOCCICCCSRHITRHIA