IVR OP Auditor – PB/HB

🔥 23 hours ago

🇺🇸 United States – Remote

⏱ Part Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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e4health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

⚖️ Legal

📦 Logistics

Consulting • Legal • Logistics

e4health is a healthcare-focused services and technology firm that helps hospitals and health systems improve clinical data quality, coding accuracy, revenue integrity, and IT systems. They provide Health IT consulting, health information management (HIM), clinical documentation improvement (CDI), coding and auditing (including risk adjustment/HCC), legacy data migration and validation, interim staffing, and software and AI automation solutions. e4health serves more than 400 health systems with a mix of professional services, advisory engagements, and technology to optimize workflows, protect IT investments, and drive measurable outcomes.

📋 Description

• Complete regularly scheduled quality assurance reviews for clients • Complete onboarding quality assurance reviews for newly hired consultants • Provide training for newly hired coding consultants as needed • Communicate quality issues to management • Assist with drafting, implementing, and monitoring quality improvement action plans • Maintain reports and accuracy rates for coding consultants and clients • Respond to client QA needs at management’s direction • Provide educational sessions on coding error trends • Notify management of compliance concerns or incidents • Handle patient information appropriately under HIPAA privacy and security requirements • Maintain confidentiality and discretion with patient information • Attend educational conference calls • Provide coding support to the business as needed • Perform other project duties as needed • Maintain required productivity and quality requirements • Maintain coding credential requirements • Validate accurate data abstraction into client electronic medical record systems according to ICD-10-CM, CPT, HCPCS, AMA CPT, and CMS guidelines • Report quality results and track and trend educational opportunities • Provide educational support and training to coders and providers • Maintain a coding auditing accuracy rate of 95% or better while meeting productivity standards

🎯 Requirements

• Approved AHIMA or AAPC coding credential required • CIRCC/RCCIR is a plus • Minimum 4 years’ coding experience • Minimum 4 years’ auditing experience • Experience with both professional fee (PB) and facility (HB) IVR auditing required • At least 2 years of remote experience recommended • Knowledge of HIPAA Privacy and Security Regulations • Ability to maintain coding credential requirements • Strong collaboration skills • Strong analytic and problem-solving abilities • Initiative and drive for results and success • Commitment to a team environment • Well-developed written, verbal, and presentation communication skills • Deep listening and attention to detail • Ability to self-motivate and self-direct • Strong time management and organizational skills • Commitment and adherence to company Core Values • Applicants for U.S. based positions must be legally authorized to work in the United States • Visa sponsorship is not available

🏖️ Benefits

• 401(k) with company match • Medical insurance • Dental insurance • Vision insurance • Life insurance • Short-term disability insurance • Long-term disability insurance • PTO policy • Remote work from a home office environment