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Profee Audit Specialist
Datavant. Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment.
About the role
Key responsibilities & impact- Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment.
- Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc
- Keeps abreast of regulatory changes
- Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution
- Provides coder education via the auditing process
- Function in a professional, efficient and positive manner
- Adhere to the American Health Information Management Association (AHIMA)’s code of ethics
- Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
- High complexity of work function and decision making
- Strong organizational, teamwork, and leadership skills
Requirements
What you’ll need- 5+ years of Professional Fee coding and/or auditing
- CPC (required)
- CPMA (preferred)
- Maintain 95% accuracy rate
- Experience with various software including Epic, Cerner, and other prevalent EMRs
Benefits
Comp & perks- Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays
- Free CEUs every year
- Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable
- Equipment: monitor, laptop, mouse, headset, and keyboard
- Comprehensive training led by a credentialed professional coding manager
- Exceptional service-style management and mentorship (we’re in this together!)
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-CMCPTHCPCScoding auditsprofessional fee codingaccuracy rate
Soft Skills
organizational skillsteamworkleadershipcustomer serviceprofessionalismflexibilitydependabilitydesire to learncommitment to excellence
Certifications
CPCCPMA