Senior Consultant – Profee Auditor, Quality and Education

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🕒 4 days ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🔎 Auditor

👻 Ghost score 15%

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UASI

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1984

🏥 Healthcare

💼 Consulting

🤝 B2B

💰 $7M Debt on 2020-05

Healthcare • Consulting • B2B

UASI is a healthcare-focused revenue cycle consulting and services firm that helps hospitals and health systems optimize coding, clinical documentation improvement (CDI), denials and revenue integrity, quality and risk management, and AI adoption. With 40+ years of experience, UASI offers consulting, program design and implementation, assessments and audits, managed services and staffing, technology, and education and training. The company serves more than 1,250 hospital facilities and physician groups and employs 800+ nationally credentialed experts; it is KLAS-recognized and positions itself to find and fill gaps, fix processes, or run functions on behalf of clients (domestic, offshore, or both).

📋 Description

• Perform coding audits on a variety of professional fee medical records • Utilize and enhance professional fee auditing and coding skills • Independently research complex coding scenarios and support audit findings with coding and regulatory references • Translate audit findings and trends into clear, actionable education • Provide individualized feedback and one-on-one coaching to internal coders and auditors • Participate in peer review, audit-the-auditor, calibration, and other quality assurance activities • Communicate audit findings, coding rationale, education, and constructive feedback to coders, auditors, and leadership • Manage multiple assignments and deadlines in a fast-paced, quality-driven environment • Finalize and present impartial, objective audit findings • Work from home while adapting to changing priorities

🎯 Requirements

• Active AHIMA or AAPC certification, i.e., CPC, CPMA, CCS-P, or COC • Minimum of 3-5 years of hands-on professional fee coding and medical record auditing in a multi-specialty or hospital-affiliated setting • Experience across multiple medical specialties, including Emergency Department, Hospitalist, Primary Care, ENT, Nephrology, Urology, Cardiology, Thoracic, Neurology, Obstetrics and Gynecology, Behavioral Health, Ophthalmology, Endocrinology, etc. • Advanced knowledge and demonstrated auditing experience across the full range of professional coding, including ICD-10-CM diagnosis coding, CPT, HCPCS, modifiers, E/M leveling, and procedural coding • Strong knowledge of professional coding guidelines, CPT guidelines and conventions, CMS regulatory requirements, NCCI edits, and other applicable profee coding and billing requirements • Ability to independently research complex coding scenarios and interpret authoritative coding guidance, including Official Coding Guidelines, Medicare/Medicaid Claims Processing Manual, OIG guidance, LCD/NCD documents and transmittals • Ability to translate audit findings and identified trends into clear, actionable education and provide individualized feedback and one-on-one coaching • Experience participating in or supporting peer review, audit-the-auditor, calibration, and other quality assurance activities • Strong computer skills, including familiarity with EHR systems such as EPIC and Cerner, automated auditing tools, and secure file transfer in compliance with HIPAA policies • Excellent verbal and written communication skills • Strong organizational and time-management skills; ability to prioritize competing responsibilities, meet deadlines, and maintain quality and productivity standards • Ability to remain impartial and objective in finalizing and presenting audit findings

🏖️ Benefits

• Medical, Dental, Vision and Life Insurance • Short/ long-term disability • PTO • 401(K) • Referral bonuses • Training opportunities • Yearly educational allowances • Continuing education programs • Dedicated support team for guidance and mentoring • Birthday recognition • Holiday gift selections • Years of service awards • Quality bonus programs • Career growth and development • Dynamic work environment

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