Coding Auditor – Ambulatory, Professional Coding, Profee

🔥 14 hours ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $26 - $52 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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/or auditors to ensure a minimum coding accuracy standard of 95% is met • Perform quality checks and audits on visits according to client SOPs • Perform calibration audits • Suggest improvements and schedule calibration sessions with offshore team counterparts and leaders • Assist in preparing audit reports and provide direct feedback to coders and auditors • Participate in client interactions and internal stakeholder meetings • Apply clinical documentation guidelines and monitor compliance with coding guidelines • Identify coding errors, ensure corrections, and initiate corrective action before claims are rebilled • Analyze and present findings to leadership in a clear, concise, convincing, and actionable format • Utilize encoder software applications and applicable online tools and references • Assign appropriate diagnosis and procedure codes using CDC, CMS, AHA, AMA, AHIMA, and client coding guidelines • Navigate patient health records and computer systems to determine accurate diagnosis and procedure codes • Meet productivity standards for ambulatory coding auditing • Maintain coding skills, knowledge, accuracy, CEUs, and current knowledge of coding and reimbursement changes • Ensure patient information and medical record signatures are correct • Use compliant coder query practices with physicians, CDS, and other healthcare providers • Track missing documentation and ambulatory queries using EMR communication tools • Work with HIM and PFS teams to resolve billing, claims, denial, and appeals issues • Identify and problem-solve coding and EMR workflow issues affecting coding • Notify leadership regarding health record documentation or coding ethics concerns • Maintain adherence to applicable federal, state, and local laws, regulations, coding ethics, policies, and procedures • Abstract additional data elements as required • Perform other duties as assigned

🎯 Requirements

• Current permanent United States Work Authorization required • Working 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, Surgery, and others • 2+ years previous experience as a professional/profee/ambulatory coding auditor • 3+ years of experience coding professional/profee/ambulatory accounts • Advanced proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, Visio, SharePoint) • Analytical skills (problem solving, quantitative, workflow process, etc.) • Ability to pay close attention to details; strong follow-up and follow-through skills • Excellent time management skills; organized; ability to prioritize completing multiple tasks on schedule in a deadline driven environment • Requires the use of independent judgement, discretion and decision-making abilities • Ability to interact with internal and external customers in a professional manner • Ability to ramp up on a client’s environment, processes, historical context, and systems to provide support to an engagement as soon as possible • Financial acumen and analytical skills are required • Experience working with data from various sources preferred • Familiarity with revenue cycle systems, deep understanding of revenue cycle process flow and financial analysis • Desire to work as part of a team in a partnership role • Strong oral and written communication skills, analytical skills, ability to work independently, and be self-motivated are required • Flexible and adaptable to change • Certified Professional Coder (CPC) through AAPC required • AAPC CPMA (Certified Professional Medical Auditor) preferred • Registered Health Information Administrator (RHIA) preferred • Encoder experience (3M/Solventum, Encoder Pro, Codify) preferred • Epic experience preferred • Cerner experience preferred • Meditech experience preferred • Ability to remain seated at a desk/computer for 8 hours daily and use computer keyboard, mouse, and monitors • Very rarely, ability to lift up to 20 pounds and bend and stand for periods at a time

🏖️ Benefits

• Medical, dental and vision coverage • Other wellness programs • Eligible to participate in Huron’s benefit plans