Remote Profee Coding Auditor | CPC Certified

Datavant; Boise (ID); Remote; USD 85.000 - 140.000; Vollzeit

Benefits dieser Stelle

Medical, Dental, Vision

401k matching

Paid time off

Paid holidays

Floating holidays

Free CEUs

Dues stipend (AHIMA/AAPC)

Equipment provided

Training and mentorship

Zusammenfassung

Datavant is seeking a Profee Auditing Specialist to perform professional fee coding audits and provide actionable rationale for changes. The role supports remote work with flexible hours and focuses on regulatory adherence, documentation accuracy, and coder education across multiple EMRs.

Requirements include 5+ years in professional fee coding/auditing, CPC certification, and strong organizational and leadership skills. EPIC/Cerner experience is preferred; 95% accuracy is expected.

Qualifikationen

• 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.

Aufgaben

• Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment.
• Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc
• Keeps abreast of regulatory changes
• Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution
• Provides coder education via the auditing process
• Function in a professional, efficient and positive manner
• Adhere to the American Health Information Management Association (AHIMA)’s code of ethics
• Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
• High complexity of work function and decision making
• Strong organizational, teamwork, and leadership skills

Kenntnisse

Professional Fee coding

Auditing

Regulatory awareness

Communication

Documentation rationale

Ausbildung

CPC (required)

CPMA (preferred)

Tools

Epic

Cerner

Jobbeschreibung

Datavant is seeking a Profee Auditing Specialist to perform professional fee coding audits and provide actionable rationale for changes. The role supports remote work with flexible hours and focuses on regulatory adherence, documentation accuracy, and coder education across multiple EMRs.

Requirements include 5+ years in professional fee coding/auditing, CPC certification, and strong organizational and leadership skills. EPIC/Cerner experience is preferred; 95% accuracy is expected.