About this role
Role Overview
- The Professional Fee Auditor is responsible for completing quality assurance reviews on internal and/or external professional coding specialists or external providers.
- This may also include onboarding audits and training of newly hired e4health coding specialists.
- This role is responsible for validating the coding specialist is accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, Evaluation and Management Guidelines, and CMS directives.
- The Professional Fee Auditor also plays a key role in reporting quality results, tracking and trending of educational opportunities of the coding specialist or provider,
- responding to client subject matter needs, and providing educational support and training to coders and/or providers.
- The Professional Fee Auditor is expected to maintain consistent coding auditing accuracy rate of 95% or better while also meeting agreed upon productivity standards.
Requirements
- Candidate must possess an approved AHIMA or AAPC coding credential; CIRCC/RCCIR a plus
- Minimum 4 years’ coding experience required; specialty experience may be preferred as per specific client needs
- Minimum 2 years of auditing experience preferred
- Extensive education and training of 2021 and 2023 Evaluation and Management guidelines
- This is a higher-complexity engagement given the education component in addition to auditing.
- Candidates need strong E/M auditing and surgical experience and the ability to provide provider education.
Benefits
- We offer an excellent salary
- full benefits package including 401(k) with company match
- medical, dental, vision, life, short/long term disability insurance
- PTO policy