Sr Auditing Consultant

Savista

3d•$72,000 - $77,000•Remote

About The Position

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Sr. Auditing Consultant accurately examines and evaluates the medical record and health information for accuracy in coding for hospital outpatient and physician coding.

Requirements

RHIA, RHIT, CCS, CCS/P or CPC Certified Interventional Radiology Cardiovascular Coder (CIRCC)
3+ years’ experience including outpatient and/or professional fee coding skills as well as ambulatory surgery, APC, emergency room, evaluation and management, auditing, report-writing expertise, required.
Must be proficient in all aspects of Interventional Radiology (IVR) procedures
Must successfully pass a coding skills assessment
Knowledge of medical terminology, ICD-10 and/or CPT-4 codes
Must be detail oriented and have the ability to work independently
Computer knowledge of MS Office
Must display excellent interpersonal skills
Must have effective communication and writing skills

Nice To Haves

Preferred coding skills: prospective payment methodologies, physician office billing

Responsibilities

Performs ambulatory surgery, emergency room, other hospital outpatient visits, and evaluation/management coding audits for technical and/or professional reporting
Performs educational services to clients based on audit results
Has the ability to analyze audit results identifying patterns, trends, and key problematic areas with the ability to communicate specific opportunities for coder improvement initiatives
Utilizes a laptop/or micro desk top computer in a virtual office, windows-based environment
Utilize various coding books, procedure manuals, and on-line encoders as a resource
Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
May be asked to mentor other new consultants and perform peer reviews
Maintains strict patient and physician confidentiality and follows all federal, state and hospital guidelines for release of information
Maintains current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols
Participate in staff meetings, training and conference calls as requested
Perform coding QA reviews based on Client’s internal monitoring process, criteria, and requirements including quality outcomes data entry and reporting as follows:
Include appropriate assignment of the CPT procedure charges based on supporting medical record documentation and established coding guidelines
Review for accurate assignment of any and all applicable modifiers based on official reporting guidelines
Review for accurate and appropriate application of Correct Coding Initiative Edits (“NCCI”) against reported CPT codes included in this scope
Identify areas of educational opportunities for coders and/or providers in relation to CPT code assignments, as applicable
Communicate recommendations for documentation and/or process improvement as they are identified
Define areas and topics in which additional education would be beneficial for increased accuracy and compliance
Complete the charge review and return the case electronically within a timely manner unless additional information is needed from the Client.