Coding Auditor – Ambulatory, Professional Coding, Profee

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $26 - $52 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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Huron

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2002

🏥 Healthcare

📦 Logistics

📣 Marketing

Healthcare • Logistics • Marketing

Huron Consulting Group is a global consultancy that provides a wide range of services including strategy, operations, advisory, digital, technology, and analytics solutions to various sectors such as healthcare, education, energy, and financial services. Huron helps organizations navigate complex challenges and drive growth through tailored solutions and innovative strategies. The company employs a team of experts dedicated to delivering high-impact solutions that address the unique needs of each client, focusing on areas such as managed services, outsourcing, and leadership development.

📋 Description

• Audit coders and coding auditors to ensure a minimum 95% coding accuracy standard • Perform quality checks and audits on visits according to client SOPs • Perform calibration audits and schedule calibration sessions with offshore counterparts and leaders • Prepare audit reports and provide feedback to coders and auditors • Participate in client interactions and internal stakeholder meetings • Monitor coding-guideline compliance and ensure audit errors are corrected before claims are rebilled • Analyze findings and present clear, concise, convincing, and actionable summaries to leadership • Assign appropriate diagnosis and procedure codes using established coding guidelines • Navigate patient health records and computer systems to determine accurate codes • Meet productivity standards for ambulatory coding audits • Maintain current knowledge of ambulatory/professional coding and reimbursement guidelines and regulations • Ensure patient information and medical-record signatures are correct • Conduct compliant coder queries and track missing documentation through EMR tools • Work with HIM and PFS teams to resolve billing, claims, denial, and appeals issues • Identify and help resolve coding and EMR workflow issues • Maintain ethical and professional coding standards and notify leadership of concerns • Perform additional data abstraction when required • Perform other duties as assigned

🎯 Requirements

• Current permanent United States work authorization required • Must work in the United States • Day shift schedule required • Experience in coding specialties such as E&M, Oncology, Acute, Ambulatory, Cardiology, Radiology, Pathology, Anesthesia, Emergency Room, and Surgery • 2+ years of previous experience as a professional/profee/ambulatory coding auditor • 3+ years of experience coding professional/profee/ambulatory accounts • Advanced proficiency with Microsoft Office Suite, including Excel, Word, PowerPoint, Outlook, Visio, and SharePoint • Analytical skills, including problem solving, quantitative analysis, and workflow-process analysis • Strong attention to detail and follow-up/follow-through skills • Excellent time-management and organizational skills, with ability to prioritize multiple tasks in a deadline-driven environment • Independent judgment, discretion, and decision-making abilities • Ability to interact professionally with internal and external customers • Ability to learn a client’s environment, processes, historical context, and systems quickly • Financial acumen and analytical skills • Familiarity with revenue-cycle systems and deep understanding of revenue-cycle process flow and financial analysis • Strong oral and written communication skills • Ability to work independently and be self-motivated • Flexibility and adaptability to change • Must remain seated at a desk/computer for 8 hours daily and use computer monitors for 8 hours daily • Certified Professional Coder (CPC) through AAPC required • AAPC CPMA, RHIA, encoder experience, Epic experience, Cerner experience, and Meditech experience preferred

🏖️ Benefits

• Medical, dental, and vision coverage for employees and dependents • 401(k) plan with generous employer match • Employee stock purchase plan • Paid Time Off policy • Paid parental leave • Adoption assistance • Wellness Program with free annual health screenings and coaching • Bank at work • On-site workshops • Ongoing programs recognizing major events in employees’ lives