Auditing & Education Consultant - IP Facility
About The Position
The Auditing & Education Consultant evaluates client coders’ assignment of ICD-10, CPT, and/or HCPCS codes to hospital inpatient, outpatient, and/or physician practice encounters. The consultant performs concurrent or retrospective reviews, inventories code assignments, reports findings to clients, and develops and delivers education related to audit findings. The role requires extensive inpatient facility coding and auditing experience and a recognized coding credential. This is a remote consulting position. The consultant conducts complex record reviews, analyzes findings and potential error root causes, prepares supported audit reports and client deliverables, and contributes to coding education. The position also requires compliance with coding guidelines, confidentiality standards, productivity and accuracy expectations, and professional client and team communication.
Requirements
- Recognized coding credential from AHIMA or AAPC.
- At least 5 years of coding and/or auditing experience in an acute care facility or clinic involving the patient types described in the job summary, or other relevant experience.
- Experience with telecommuting and electronic medical record systems.
- Strong analytical skills.
- Proficiency with computers, specifically Microsoft Office products.
- Ability to work effectively as a team member.
- Ability to work with multiple and diverse clients and projects.
- Ability to work with minimal supervision.
- Ability to maintain and access multiple files.
- Ability to produce accurate work with strong attention to detail.
Nice To Haves
- CCS certification is preferred; CIC, RHIT, or RHIA will also be considered.
Responsibilities
- Perform complex concurrent and/or retrospective analysis of medical record documentation to validate coded data against applicable coding authorities and references.
- Analyze findings and identify potential root causes of errors.
- Prepare client summary reports with specific references supporting audit findings.
- Provide second-level review of processes to support compliance with legal and procedural policies and 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 ethical coding standards, official coding guidelines, and compliance practices.
- Participate in the Consulting Services Team’s development and delivery of coding education to clients.
- Conduct assigned audits while meeting productivity standards for each record type; billable productive hours are expected to be at or above 80% when client work is available.
- Prepare client deliverables within the audit scope and meet timelines.
- Conduct independent quality assurance of assigned audit results before final submission for QA review and approval; minimum accuracy expectation is 95%.
- Report work time and work products accurately and promptly.
- Communicate respectfully with coworkers to promote teamwork and knowledge sharing.
- Interact professionally with clients and maintain effective working relationships, performance, and communication.
- Provide management and appropriate staff with schedules of planned work activities, events, and sites, and report changes.
- Maintain professional credentials and knowledge of coding, reimbursement, and compliance through continuing education.
- Perform other assigned duties and responsibilities.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
