Professional Fee Auditor, Educator

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e4health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🤝 B2B

☁️ SaaS

🤖 Artificial Intelligence

B2B • SaaS • Artificial Intelligence

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

• The Professional Fee Auditor is responsible for completing quality assurance reviews on internal and/or external professional coding specialists or external providers. • This may also include onboarding audits and training of newly hired e4health coding specialists. • This role is responsible for validating the coding specialist is accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, Evaluation and Management Guidelines, and CMS directives. • The Professional Fee Auditor also plays a key role in reporting quality results, tracking and trending of educational opportunities of the coding specialist or provider, • responding to client subject matter needs, and providing educational support and training to coders and/or providers. • The Professional Fee Auditor is expected to maintain consistent coding auditing accuracy rate of 95% or better while also meeting agreed upon productivity standards.

🎯 Requirements

• Candidate must possess an approved AHIMA or AAPC coding credential; CIRCC/RCCIR a plus • Minimum 4 years’ coding experience required; specialty experience may be preferred as per specific client needs • Minimum 2 years of auditing experience preferred • Extensive education and training of 2021 and 2023 Evaluation and Management guidelines • This is a higher-complexity engagement given the education component in addition to auditing. • Candidates need strong E/M auditing and surgical experience and the ability to provide provider education.

🏖️ Benefits

• We offer an excellent salary • full benefits package including 401(k) with company match • medical, dental, vision, life, short/long term disability insurance • PTO policy