Outpatient Auditor

🔥 52 minutes ago

🇺🇸 United States – Remote

⏰ Full 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 identification, drafting, implementation, and monitoring of quality improvement action plans • Maintain reports and accuracy rates for coding consultants and clients • Respond to client quality-assurance needs at management’s direction • Provide educational sessions on error trends to coding consultants • Notify management of compliance concerns or incidents • Handle patient information appropriately while maintaining confidentiality and discretion • 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 • Complete quality assurance reviews of outpatient coding specialists or external providers across facility-based chart types • Validate accurate data abstraction into client electronic medical record systems • Follow ICD-10-CM, CPT, HCPCS, AMA CPT, and CMS coding guidance • Track and trend educational opportunities and report quality results • Provide educational support and training to coders and providers • Maintain a coding auditing accuracy rate of 95% or better while meeting productivity standards

🎯 Requirements

• Candidate must possess an approved AHIMA or AAPC coding credential • Minimum 4 years’ coding experience required • Specialty experience may be preferred as per specific client needs • Minimum 2 years of auditing experience preferred • Recommend at least 2 years of remote experience • Applicants for U.S. based positions must be legally authorized to work in the United States • Verification of employment eligibility will be required at the time of hire • Visa sponsorship is not available • Knowledge of HIPAA Privacy and Security Regulations • Knowledge of Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding • Knowledge of AMA CPT Guidelines and CMS directives • Strong collaboration skills • Strong analytic and problem-solving abilities and techniques • Consistent initiative with strong 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 • High level of integrity and ethical judgment • Communication, consistency and reliability, and meeting standards

🏖️ Benefits

• Excellent salary • Full benefits package • 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