Remote Facility Coding Auditor & Revenue Integrity

Sustainable World, Inc.; Northern (KY); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical, Dental, Vision coverage

401K with company match

Certification and Tuition Reimburs e

Job summary

Sustainable World, Inc. is seeking a remote Health Information Management Auditor to support the Director of HIM by conducting comprehensive audits of hospital outpatient and ProFee claims, evaluating coding accuracy, and identifying revenue integrity improvements.

Using proprietary software, you will develop client reports, present findings to leadership, and help create educational materials on coding and billing best practices, while collaborating with consultants and clients.

Qualifications

• AHIMA or AAPC certification required (CPC-A not accepted).
• Minimum 5 years of hospital outpatient facility coding audit experience.
• Advanced knowledge of ED, SDS, OBS, I&I, E/M and ancillary outpatient services.
• Experience presenting findings to healthcare clients and leadership.
• Strong understanding of revenue cycle processes, billing principles and coding compliance.
• Excellent written and verbal communication skills.

Responsibilities

• Perform detailed audits of hospital outpatient and ProFee claims to identify opportunities.
• Review and recommend coding, charge capture, revenue integrity and claim optimization strategies.
• Utilize proprietary software to analyze audit findings and develop client reports.
• Present audit results and recommendations to clients clearly and professionally.
• Respond to coding and compliance inquiries with concise written and verbal communication.
• Collaborate with revenue cycle consultants, coding professionals, and client stakeholders.
• Develop educational materials, FAQs, and client-facing guidance on coding and billing best practices.
• Assist with special projects and other duties as assigned.

Skills

CPC/AHIMA or AAPC cert

5+ years hospital outpatient coding

ED coding

SDS coding

OBS coding

I&I coding

E/M coding

Ancillary outpatient services

Job description

Sustainable World, Inc. is seeking a remote Health Information Management Auditor to support the Director of HIM by conducting comprehensive audits of hospital outpatient and ProFee claims, evaluating coding accuracy, and identifying revenue integrity improvements.

Using proprietary software, you will develop client reports, present findings to leadership, and help create educational materials on coding and billing best practices, while collaborating with consultants and clients.