Profee/Outpatient Medical Coding Auditor

🔥 42 minutes ago

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IKS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

☁️ SaaS

🤖 Artificial Intelligence

🤝 B2B

SaaS • Artificial Intelligence • B2B

IKS Health is a healthcare technology and services company that combines AI-driven software and human expertise to streamline clinical, operational, and financial workflows across the care journey. The company provides platform-based solutions including revenue cycle management, patient access, denial prediction and optimization, medical coding, clinical documentation (ambient AI scribe, virtual scribing, transcription), care team enablement, and value-based care/risk optimization. IKS Health serves health systems, physician enterprises, ambulatory and specialty practices, and emphasizes human-in-the-loop agentic AI built on cloud technologies to reduce administrative burden, improve financial performance, and enhance care quality.

📋 Description

• Conduct clinical coding audits as defined by client contracts for audit service • Contribute to the ongoing development and refinement of proprietary audit tools • Serve as the primary mentor/trainer to internal coders • Provide educational feedback and instruction to staff for coding guidelines • Coordinate and oversee the coder onboarding process for assigned clients • Manage the performance of all quality for assigned clients • Monitor and enforce compliance and quality program • Ensure adherence to State and National Practice Standards for coding • Serve as an official resource for coding related questions from the coding staff • Provide project status reports to operational leadership as requested • Monitor employee coding accuracy rates on a weekly basis • Work directly with coding management team to ensure educational needs of coder are met • Provide coaching as needed • Conduct internal coding audits accurately and timely • Conduct audits adhering to nationally recognized coding guidelines and standards • Provide input and advice regarding educational topics based on audit trends • Represent company via professional meeting attendance and communication • Interact with audit peers, manager, coding staff and operations team • Maintain Coding Knowledge and Serve as Coding Expert • Ensure IKS Helath's compliance with all regulatory agencies • Ensure we are HIPAA compliant at all times

🎯 Requirements

• 3 yrs plus of experience coding Profee/PB and outpatient charts • Experience using: Athena, Cerner, Epic, 3M (TruCode Preferred) • AHIMA or AAPC Coding credential is required: CPC, CPMA, RHIT, RHIA • Broad-based audit experience with professional fee coding • Experience working with global/offshore coders • Requires strong interpersonal communication skills, both verbal and written • Requires a high level of coding accuracy and attention to detail • Experience with using multiple encoders and systems • Excellent oral and written communication skills – must be detailed and articulate • Strong knowledge of Google Suite- Gmail, Google Doc, Google Sheets is required

🏖️ Benefits

• Healthcare • 401k • Paid time off