Professional Coding Auditor-QA/Consultant id-7492


RESPONSIBILITIES:


REQUIREMENTS:

  • 7-10 years of multiple specialty coding auditing
  • Expertise in E/M and surgical coding 5-10 specialties and high-working knowledge in more
  • 5 years of quality assurance role for a team of coding auditors
  • Experience with QA associated with 10s of 1,000s of records per year
  • Experience in using one or more audit tools, e.g. Audit Manager, Intellicode, MDAudit, etc.
  • Comfortable in a fast-paced, short-deadline environment
  • Current credential of CPC/CCS-P or related coding professional credential required
  • Strong understanding of and experience in auditing for compliance with 1995, 1997, and 2021/2023 E/M Guidelines required
  • Experience in surgical coding auditing is required (cardiology and orthopedic surgery is preferred)
  • Additional credentials such as RHIT, CCS, CPMA, or specialty designations desirable
  • Physician practice operations, including financial reimbursement and revenue cycle understanding, is preferred
  • Knowledge related to post-acute coding and billing (SNF, Home Health, Palliative Care, Behavioral Health) is a plus
  • Experience presenting to physicians and other healthcare providers required
  • Professional services firm experience desired
  • Ability to work in a fast-paced, high-volume coding audit (5-7 encounters per hour average expected) environment with a team, which expects high-quality deliverables and accuracy to clients
  • Superior communication skills, both oral and written
  • Excellent project management skills
  • Traits that include detail-oriented, flexible, and responsive
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