Outpatient Auditor (SDS, ED, OBS, I&I)

e4health; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Join a leading healthcare solutions provider as an Outpatient Auditor. This remote role involves quality assurance reviews, training new coding specialists, and ensuring compliance with coding standards. Ideal candidates will have extensive coding and auditing experience, along with strong communication skills.

Benefits

401(k) with match

Profit sharing

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

PTO

Qualifications

• At least 4 years of coding experience; specialty experience preferred.
• At least 2 years of auditing experience preferred.

Responsibilities

• Complete scheduled quality assurance reviews for clients.
• Provide training to newly hired coding consultants.
• Maintain coding auditing accuracy rate of 95% or higher.

Skills

Communication

Analytic

Problem Solving

Time Management

Education

AHIMA or AAPC coding credential

Job description

Join to apply for the Outpatient Auditor (SDS, ED, OBS, I&I) role at e4health

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Job Description

At e4health, we Empower Better Health. The e4health Team is on a relentless mission to care for those teams who care for others. We bring our passion, ingenuity, and expertise to every engagement. In joining our Team, we want your help to provide our customers with powerful solutions in the pursuit of quality, integrity, clinical and financial value across healthcare.

Our People make the difference. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. e4health solutions streamline clinical, financial, and health information data and workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us at www.e4.health.

Medical Coding Integrity Specialist, Outpatient - Remote

Job Summary

The Medical Coding Integrity Specialist, Outpatient is responsible for completing quality assurance reviews on internal or external outpatient coding specialists or external providers. The facility-based chart types may include Emergency Department, Observation, Same Day Surgery, Ancillary, Interventional Radiology, or Facility-Based Clinic. This role also involves onboarding audits and training of newly hired e4health coding specialists. The specialist validates accurate data abstraction into client electronic medical records, following ICD-10-CM, CPT, HCPCS, AMA CPT Guidelines, and CMS directives. They report quality results, track educational opportunities, respond to client needs, and provide training. The role requires maintaining a coding auditing accuracy rate of 95% or higher while meeting productivity standards.

Essential Duties and Responsibilities:

1. Complete scheduled quality assurance reviews for clients.
2. Perform onboarding quality assurance reviews for new hires.
3. Provide training to newly hired coding consultants.
4. Communicate quality issues to management.
5. Assist in developing and monitoring quality improvement plans.
6. Maintain reports and accuracy rates.
7. Respond to client QA needs as directed.
8. Provide educational sessions on error trends.
9. Notify management of compliance concerns.
10. Handle patient information with confidentiality, adhering to HIPAA regulations.
11. Participate in educational calls and provide coding support as needed.
12. Perform other duties as assigned, maintaining productivity and quality standards.
13. Maintain coding credentials as required.

Required Qualifications:

1. Approved AHIMA or AAPC coding credential.
2. At least 4 years of coding experience; specialty experience preferred.
3. At least 2 years of auditing experience preferred.
4. Remote work experience preferred.

Additional Information:

Key Success Attributes:

• Integrity, passion, and ethics.
• Strong communication and collaboration skills.
• Analytic and problem-solving abilities.
• Initiative and drive for results.
• Team commitment.
• Excellent interpersonal and communication skills, including listening and attention to detail.
• Self-motivation and self-direction.
• Strong time management and organizational skills.
• Adherence to company core values.

Core Competencies:

• Integrity and ethical judgment.
• Effective communication.
• Reliability and consistency.
• Ability to meet standards.

Benefits:

Competitive salary, full benefits including 401(k) with match, profit sharing, medical, dental, vision, life, disability insurance, and PTO.

Physical Demands:

Sitting, talking, hearing, near vision, walking, standing, feeling, reaching, bending, twisting, climbing, lifting, and traveling up to 15% may be required.

Working Conditions:

Primarily indoor work with minimal exposure to weather and noise.

e4health is an equal opportunity employer. Applicants must be authorized to work in the U.S. No visa sponsorship available.