Live opening · Posted 3 days ago
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About the role
Description supplied by the original job listing.
The ProFee Auditor performs comprehensive audits of provider-side medical coding, ensuring the professional services delivered by physicians and other qualified healthcare practitioners are compliant and appropriate, with accurate code assignments in accordance with CMS, payer, and regulatory guidelines. Provides feedback and education to providers and coding staff to improve documentation, coding accuracy and reimbursement integrity.
Job Responsibilities:
Performs coding audits of professional fee services across multiple specialties
Provides coding and documentation education to coders, physicians, and revenue cycle staff
Prepares detailed reports on audit findings, risk assessments, and recommendation or corrective action utilizing internal proprietary audit software (HART)
Job Qualifications:
5 years Profession Fee audit experience in various
Active coding credential: CCS, CCS-P, CDIP, CPC, RHIT, and/or RHIA
Minimum Experience auditing Evaluation and Management (E&M) services
Experience with multi-specialty physician practices
Experience:
Candidates MUST have a minimum of five years’ experience in multi-specialty areas
License/Certification:
CCS, CCS-P, COC, CDIP, RHIT or RHIA Certificate (Required)
This Job Is Ideal for Someone Who Is:
Dependable -- more reliable than spontaneous
Adaptable/flexible -- enjoys doing work that requires frequent shifts in direction
Detail-oriented -- would rather focus on the details of work than the bigger picture
Autonomous/Independent -- enjoys working with little direction
Job Type: Full-time
Benefits:
401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Work Location: Remote
Work arrangement
Yes
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