ProFee / Outpatient Auditor

Job Description

Job Description

Description :

POSITION : ProFee / Outpatient Auditor

STATUS : Full-Time

LOCATION : Remote

SCHEDULE : Monday through Friday

FLSA STATUS : Non-Exempt / Eligible for Overtime

POSITION SUMMARY :

Audit ProFee records to determine appropriate designation of diagnosis and procedure codes while maintaining compliance with coding guidelines and client guidelines.

POSITION RESPONSIBILITIES :

• Perform validation audits by analyzing, evaluating, and reviewing client (facility and / or physician) medical records to ensure accuracy of code assignment
• Complete worksheets, spreadsheets and / or database entry based on audit findings
• Demonstrate proficiency in coding classification systems ICD-10-CM, CPT, and HCPCS (including E / M coding) while maintaining a 95% accuracy
• Follow and adhere to NCCI edits, CPT assistants, and AHA coding guidelines
• Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies
• Maintain productivity based on national standards and / or client specific standards
• One-on-One Mentoring reviews and calls with coders
• Occasional productive coding of ProFee records as needed by ProFee Coding teams
• Work as a team player in a dynamic environment on multiple projects
• Other duties as assigned based on company needs and client projects.

Requirements :

CERTIFICATION(s) / EXPERIENCE :

BENEFITS :

We offer a comprehensive and robust benefit package.

EQUAL EMPLOYMENT OPPORTUNITY :

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. We are a participant of E-Verify .