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Outpatient Auditor – PB/HB/IVR
e4healthOutpatient auditor reviewing hospital coding accuracy for e4health, a healthcare technology and operational services provider. Reporting quality trends, supporting coder education, and maintaining HIPAA-compliant audit standards.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding and auditing with a strong focus on quality assurance and compliance, particularly under HIPAA regulations. Proven ability to train and support coding consultants while maintaining high accuracy and productivity standards.
Highest-signal resume keywords
AHIMA Coding CredentialAAPC Coding CredentialIVR Coding/Auditing ExperienceCoding Auditing Accuracy Rate of 95% or BetterHIPAA Privacy and Security Regulations Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Coding ExperienceAuditing ExperienceQuality Assurance ReviewsCoding SupportQuality Improvement Action PlansProductivity StandardsCoding Credential MaintenanceAnalytic AbilitiesProblem-Solving AbilitiesAttention to Detail
Soft Skills
Collaboration SkillsWritten Communication SkillsVerbal Communication SkillsPresentation SkillsTime Management Skills
Certifications & Qualifications
AHIMA Coding CredentialAAPC Coding CredentialCIRCCRCCIR
Industry Keywords
HIPAA CompliancePatient Information SecurityHealthcare CodingHealth Benefits (HB)Professional Benefits (PB)
About the role
Key responsibilities & impact- Complete regularly scheduled quality assurance reviews for clients
- Complete onboarding quality assurance reviews for newly hired consultants
- Provide training for newly hired coding consultants as needed
- Communicate quality issues to management
- Assist with drafting, implementing, and monitoring quality improvement action plans
- Maintain reports and accuracy rates for coding consultants and clients
- Respond to client QA needs at management’s direction
- Provide educational sessions on coding error trends
- Notify management of compliance concerns or incidents
- Handle patient information appropriately under HIPAA Privacy and Security Regulations
- Promote confidentiality and discretion when handling patient information
- Attend educational conference calls
- Provide coding support to the business as needed
- Maintain required productivity and quality requirements
- Maintain coding credential requirements
- Perform other project duties as needed
Requirements
What you’ll need- Must possess an approved AHIMA or AAPC coding credential
- CIRCC/RCCIR strongly preferred
- Experience with IVR coding/auditing strongly preferred
- Experience in the HB and PB space required
- Minimum 4 years’ coding experience required
- Minimum 2 years’ auditing experience preferred
- At least 2 years of remote experience recommended
- Knowledge of HIPAA Privacy and Security Regulations
- Maintain a coding auditing accuracy rate of 95% or better
- Meet agreed upon productivity standards
- Integrity, passion, and ethics required
- Strong collaboration skills
- Strong analytic and problem-solving abilities
- Consistent initiative and drive for results and success
- Commitment to a team environment
- Well-developed written, verbal, and presentation communication skills
- Deep listening and attention to detail
- Ability to self-motivate and self-direct
- Strong time management and organizational skills
- Commitment and adherence to company Core Values
- Must be legally authorized to work in the United States
- Visa sponsorship is not available
Benefits
Comp & perks- Full benefits package
- 401(k) with company match
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Short-term disability insurance
- Long-term disability insurance
- PTO policy
- Remote work from a home office environment