Auditing & Education Consultant – IP Facility, IP/OP

🔥 7 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

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

• Evaluate client coders’ assignment of ICD-10, CPT, and/or HCPCS codes for inpatient, outpatient, and/or physician practice encounters • Perform complex concurrent and retrospective reviews of inpatient medical record documentation • Validate coded data using AHA, CMS, AHIMA, Coding Clinic, and official ICD-10 guidelines • Analyze findings and identify potential root causes of errors • Prepare client summary reports with specific references supporting audit findings • Provide second-level review of processes for legal, procedural, and coding compliance • Research, analyze, and respond to compliance, coding, and denials inquiries • Protect patient and client information privacy and confidentiality • Develop and provide coding education to clients as part of the Consulting Services Team • Conduct assigned audits while meeting productivity standards and an expected billable productivity threshold of at least 80% when client work is available • Prepare audit deliverables and meet timelines • Perform independent quality assurance of audit results, maintaining a minimum expected accuracy of 95% • Report work time and work products accurately and promptly • Communicate and collaborate with coworkers and clients professionally • Provide management with schedules of planned work activities, events, sites, and changes • Maintain professional credentials and knowledge through continuing education • Travel periodically, as applicable • Perform other assigned duties

🎯 Requirements

• Extensive inpatient facility auditing experience, or a combination of inpatient and outpatient facility experience • Active AHIMA or AAPC credential; CCS, RHIT, CPC preferred • Minimum 5 years of current inpatient and outpatient coding and/or auditing experience in an acute care hospital or equivalent consulting environment • Recognized credential from AHIMA or AAPC • Understanding of inpatient reimbursement methodologies, regulatory compliance, and audit best practices • Strong analytical, problem-solving, and critical-thinking skills • Proficient computer skills, specifically Microsoft Office products • Ability to translate complex regulatory requirements into clear, client-focused guidance • Proficiency with multiple electronic health records, such as EPIC, Powerchart, and Meditech • Strong written and verbal communication skills suitable for executive-level and operational audiences • Ability to manage multiple client engagements independently while meeting quality and productivity expectations • High attention to detail and commitment to accuracy and ethical practice • Ability to work effectively in a remote environment • Experience with telecommuting and electronic medical record systems required • Ability to work with multiple and diverse clients and projects • Ability to work with minimal supervision • Ability to maintain and access multiple files • Ability to complete work products with high levels of accuracy and attention to detail • Ability to work at a computer terminal for 6–8 hours per day • Ability to occasionally lift and move materials weighing up to 20 pounds

🏖️ Benefits

• Professional development and personal growth opportunities • Continuing education to maintain professional credentials and coding, reimbursement, and compliance knowledge • Remote work position • Periodic travel, as applicable • Reasonable accommodations may be made for individuals with disabilities

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