Auditing & Education Consultant

Corrohealth-posted 9 months ago
Full-time • Mid Level
Remote
Ambulatory Health Care Services
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Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. The position serves in a consulting role by evaluating the work of client's coders in their assignment of ICD-10, CPT and/or HCPCS codes to hospital inpatient, outpatient and/or physician practice encounters. It involves performing concurrent or retrospective reviews to inventory code assignments and report the data to the client, as well as developing and delivering educational content to clients related to audit findings.

  • Perform complex, concurrent and/or retrospective analysis of medical record documentation to validate coded data as recognized by the AHA, CMS, AMA, AHIMA, AAPC, Coding Clinic, and CPT Assistant.
  • Analyze findings and identify potential root causes of produced errors.
  • Prepare summary reports of findings to clients, supplying specific references supporting findings contained within the provided audit report.
  • Provide second-level review of processes to ensure compliance with legal and procedural policies and to ensure appropriate code assignments.
  • Research, analyze, and respond to inquiries regarding compliance, coding, and denials.
  • Protect the privacy and confidentiality of patient health and client information, and follow the Standards of Ethical Coding as set forth by AHIMA.
  • Conduct audits as assigned meeting the productivity standards as set by record type for each audit.
  • Prepare deliverables for the client as required for the audit scope while meeting timelines.
  • Conduct independent QA of their assigned audit results prior to final submission for QA review and approval.
  • Report work time and work products in a timely and accurate manner.
  • Communicate with coworkers in an open and respectful manner that promotes teamwork and knowledge sharing.
  • Interact with clients in a professional manner that exhibits excellent relationships, work performance and communication skills.
  • Provide schedule of planned work activities, events and sites, and any changes to same, to Management and appropriate staff.
  • Maintain professional credentials and knowledge of coding, reimbursement, and compliance issues through continuing education.
  • Perform other duties and responsibilities as assigned.
  • Recognized credential from AHIMA or AAPC.
  • Experience with telecommuting and electronic medical record systems required.
  • Strong analytical skills.
  • Proficient computer skills, specifically Microsoft Office products.
  • Strong team player.
  • Ability to work with multiple and diverse clients and projects.
  • Ability to work with minimal supervision.
  • Ability to maintain and access multiple files.
  • Assure that work product is completed with high levels of accuracy and attention to detail.
  • 5+ years' experience coding and/or auditing in an acute care facility or clinic.
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