Remote ProFee Coding Auditor | Compliance & Education

Openkrill

United States

Remote

USD 90,000 - 120,000

Full time

11 days ago
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Benefits offered by this job

Medical, Dental, Vision
401k with match
Paid time off
Paid holidays
Floating holidays
Free CEUs
Education stipend
Equipment provided
Training and mentorship

Job summary

Datavant is seeking a Profee Auditing Specialist to conduct professional fee coding audits and provide detailed rationale for coding changes. This fully remote role emphasizes regulatory awareness, education of coders, and high accuracy, with a flexible schedule to fit a home-based workspace.

The position targets candidates with CPC and 5+ years of auditing experience, familiarity with Epic and Cerner, and a commitment to excellence in healthcare coding workflows.

Qualifications

  • 5+ years of Professional Fee coding and/or auditing.
  • CPC (required)
  • CPMA (preferred)
  • Maintain 95% accuracy rate
  • Experience with various software including Epic, Cerner, and other prevalent EMRs

Responsibilities

  • Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and references.
  • Provides rationale with references and location of documentation for any changes.
  • Keeps abreast of regulatory changes.
  • Organizes and prioritizes multiple cases to ensure workflow and resolution.
  • Provides coder education via auditing process.
  • Act in a professional, efficient and positive manner.
  • Adhere to AHIMA's code of ethics.
  • Demonstrates customer-service focus and professionalism.
  • Handles high complexity of work and decision making.
  • Exhibits strong organizational, teamwork, and leadership skills.

Skills

Professional Fee coding
Coding auditing
Accuracy focus
CPC

Education

CPC certification
CPMA certification

Tools

Epic EMR
Cerner EMR
EMR systems

Job description

Datavant is seeking a Profee Auditing Specialist to conduct professional fee coding audits and provide detailed rationale for coding changes. This fully remote role emphasizes regulatory awareness, education of coders, and high accuracy, with a flexible schedule to fit a home-based workspace.

The position targets candidates with CPC and 5+ years of auditing experience, familiarity with Epic and Cerner, and a commitment to excellence in healthcare coding workflows.

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