Auditing & Education Consultant – Professional Fee

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🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

Healthcare Insurance • SaaS • Artificial Intelligence

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

📋 Description

• Serves in a consulting role by evaluating the work of client’s coders in their assignment of ICD-10, CPT and/or HCPCS codes to hospital inpatient, outpatient and/or physician practice encounters. • Performs concurrent or retrospective reviews to inventory code assignments and report the data to the client. • Develops and delivers educational content to clients related to audit findings. • Validate coded data as recognized by the AHA, CMS, AMA, AHIMA, AAPC, Coding Clinic, and CPT Assistant within the professional fee billing model. • Analyze findings and identify potential root causes of produced errors. • Prepare summary reports of findings to clients, supplying specific references supporting findings contained within the provided audit report. • Provides second-level review of processes to ensure compliance with legal and procedural policies and to ensure appropriate code assignments. • Research, analyze, and respond to inquiries regarding compliance, coding, and denials. • Functions as a member of the Consulting Services Team which develop and provide coding education to clients. • Conduct Audits as assigned meeting the productivity standards as set by record type for each audit. • Prepare deliverables for the client as required for the audit scope while meeting timelines. • Conduct independent QA of their assigned audit results prior to final submission for QA review and approval. • Report work time and work products in a timely and accurate manner. • Communicates with coworkers in an open and respectful manner that promotes teamwork and knowledge sharing. • Interact with clients in a professional manner that exhibits excellent relationships, work performance and communication skills to support the company and its business interests. • Provide schedule of planned work activities, events and sites, and any changes to same, to Management and appropriate staff. • Maintenance of professional credentials and knowledge of coding, reimbursement, and compliance issues through continuing education.

🎯 Requirements

• 5+ years of auditing in professional fee (profee) • E/M leveling Coding certification through AHIMA or AAPC required (CPC, COC, CIC, CCS, RHIT, RHIA) • Experience with telecommuting and electronic medical record systems required. • Strong analytical skills. • Proficient computer skills, specifically Microsoft Office products. • Strong team player. • Ability to work with multiple and diverse clients and projects. • Ability to work with minimal supervision. • Ability to maintain and access multiple files. • Assure that work product is completed with high levels of accuracy and attention to detail.

🏖️ Benefits

• We build long-term careers by investing in YOU. • Must have 5+ years of auditing in professional fee (profee) with E/M leveling Coding certification through AHIMA or AAPC required (CPC, COC, CIC, CCS, RHIT, RHIA) • Experience with telecommuting and electronic medical record systems required. • Strong analytical skills. • Proficient computer skills, specifically Microsoft Office products. • Strong team player. • Ability to work with multiple and diverse clients and projects. • Ability to work with minimal supervision. • Ability to maintain and access multiple files. • Assure that work product is completed with high levels of accuracy and attention to detail.