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

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 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!)

Profee Audit Specialist

Key skills