ProFee Auditor - Remote

Overview

The Professional Coding Auditor will support accurate coding audit reports and assist in preparation or execution of physician/coder education for GeBBS, Full Time, 30 hours weekly.

In Short

• Leverage extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding and billing to audit client charts and billing
• Analyze and identify opportunities for documentation improvement and prepare reports, presentations and recommendations based on the analysis
• Communicate with clients regarding findings and provide recommendations on actions to be taken for improvement

Requirements

• Coding certifications required: AAPC CPMA preferred. AHIMA CCS-P, RHIA, RHIT optional.
• Experienced ProFee Auditors Only: Minimum of 5 years’ professional auditing experience
• Strong knowledge of coding disciplines; Professional Coding & Audit and Professional Provider Education
• Extensive knowledge of medical terminology, medical billing and payment methodologies, including coding guidelines for ICD-10, CPT, HCPC, E/M, etc.
• Proficiency in teaching guidelines preferred.
• Comprehensive knowledge of procedure and diagnostic coding for professional services and Medicare, Medicaid and other 3rd party payer coding and billing regulations.
• Demonstrated knowledge of 1995, 1997 and new 2021 Evaluation and Management Documentation guidelines, professional documentation requirements, and yearly updates.
• Able to yield high quality coding audits via a manual coding audit process or technology enhanced audit tool
• Knowledge of quality metrics and commitment to enforcement of standards
• Cross functional expertise with the ability to work independently in a fast-paced environment
• Excellent verbal, written, and interpersonal communication skills
• Strong computer skills including MS Office (e.g., Excel and Word)
• Ability to multi-task and set/meet multiple deadlines under pressure with initiative, tact, and poise
• US-based applicants only

Benefits

• Flexible working hours
• Remote work opportunity
• Supportive team environment
• Professional development opportunities
• Competitive salary