Remote Lead: Outpatient & Profee Coding Auditor

e4health; United States; Remote; USD 90,000 - 130,000; Full time

Job summary

e4health is seeking a Lead Facility Outpatient & Profee Internal Coding Auditor to join our remote audit team. You will perform QA reviews on outpatient facility and professional fee coding, onboard new consultants, and drive accuracy above 95% while meeting productivity targets.

Responsibilities include auditing, training, data reporting, and collaboration with clients to ensure compliance with ICD-10-CM, CPT, HCPCS and CMS guidelines. This is a fully remote position.

Qualifications

• AHIMA or AAPC credential required.
• Minimum 4 years’ coding experience required.
• Minimum 4 years of full chart auditing experience preferred.
• Experience in both Outpatient Facility and Professional Fee coding and auditing.
• At least 2 years of remote experience.
• Ability to shift between projects, work autonomously, meet productivity and quality expectations.

Responsibilities

• Complete all regularly scheduled quality assurance reviews for clients.
• Complete onboarding quality assurance reviews for newly hired consultants.
• May provide training for newly hired coding consultants.
• Communicate quality issues to management as appropriate.
• Assist with identification of, drafting, implementation, and monitoring of quality improvement action plans for coding consultants.
• Maintain reports and accuracy rates for coding consultants and clients as appropriate.
• Respond to client QA needs at the direction of management.
• Provide coding consultants educational sessions on error trends as requested by management.
• Notifying management when there is a compliance concern or incident.
• Demonstrating knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of patient information.
• Promoting confidentiality and using discretion when handling patient information.
• Attend educational conference calls.
• Provide coding support to the business as needed.
• Perform other duties as needed with the project.
• Maintains required productivity and quality requirements.

Skills

Auditing

Remote work experience

Outpatient facility coding

Education

AHIMA or AAPC credential

Job description

e4health is seeking a Lead Facility Outpatient & Profee Internal Coding Auditor to join our remote audit team. You will perform QA reviews on outpatient facility and professional fee coding, onboard new consultants, and drive accuracy above 95% while meeting productivity targets.

Responsibilities include auditing, training, data reporting, and collaboration with clients to ensure compliance with ICD-10-CM, CPT, HCPCS and CMS guidelines. This is a fully remote position.