Senior Consultant: Profee Auditor Quality and Education

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

Benefits offered by this job

Medical, Dental, Vision and Life

Training opportunities & CE allowances

Mentoring support team

Employee appreciation programs

Job summary

UASI seeks a Senior Consultant: Profee Auditor Quality and Education to perform professional fee coding audits across multiple specialties. This remote role requires independent work, attention to detail, and the ability to communicate audit findings clearly.

The ideal candidate holds AHIMA or AAPC certification and 3–5 years of hands-on profee coding and medical record auditing, with strong knowledge of CPT, ICD-10-CM, and CMS guidelines.

Qualifications

• Active AHIMA or AAPC certification (CPC/CPMA/CCS-P/COC)
• 3–5 years hands-on profee coding and medical record auditing
• Experience across multiple specialties (ED, Hospitalist, Primary Care, etc.)
• Auditing knowledge: CPT, ICD-10-CM, modifiers, E/M, CMS guidelines
• Knowledge of coding guidelines, CMS requirements, NCCI edits
• Ability to translate audit findings into education and coaching
• Experience in peer review/QA and calibration activities
• Familiarity with EHRs (EPIC, Cerner) and secure file transfer per HIPAA

Responsibilities

• Perform profee coding audits on diverse medical records
• Translate audit findings into actionable education for coders
• Provide one-on-one coaching and feedback to internal staff
• Support peer review, calibration, and QA activities to ensure consistency
• Research complex coding scenarios using official guidelines and references
• Communicate audit results clearly to leadership and teams

Skills

AHIMA or AAPC certification

3–5 years profee coding auditing

Auditing CPT/ICD-10-CM

EHR systems (EPIC/Cerner)

Education/coaching of coders

Strong communication

Tools

EPIC

Cerner

Job description

Senior Consultant: Profee Auditor Quality and Education

Remote

Elevate your expertise! Join UASI today and work with the top HIM experts in the industry.Senior Consultant Auditor positions at UASI allow HIM professionals to have the best of both worlds: a challenging opportunity to utilize and enhance current auditing/coding skills and the convenience of working from home.

We are currently seeking an experienced Profee Coding Auditor to perform coding audits on a variety of professional fee (profee) medical records. The ideal candidate will be flexible, detail-oriented, quality-conscious, and able to work independently while adapting to changing priorities. The individual must demonstrate strong analytical and critical-thinking skills and the ability to manage multiple assignments and deadlines in a fast-paced, quality-driven environment. Additional qualifications include:

• Active AHIMA or AAPC certification, i.e., CPC, CPMA, CCS-P, or COC
• Minimum of 3-5 years of hands-on professional fee coding and medical record auditing in a multi-specialty or hospital-affiliated setting
• Experience across multiple medical specialties, including Emergency Department, Hospitalist, Primary Care, ENT, Nephrology, Urology, Cardiology, Thoracic, Neurology, Obstetrics and Gynecology, Behavioral Health, Ophthalmology, Endocrinology, etc.
• Advanced knowledge and demonstrated auditing experience across the full range of professional coding, including ICD-10-CM diagnosis coding, CPT, HCPCS, modifiers, E/M leveling, and procedural coding.
• Strong knowledge of professional coding guidelines, CPT guidelines and conventions, CMS regulatory requirements, NCCI edits, and other applicable profee coding and billing requirements
• Ability to independently research complex coding scenarios, interpret authoritative coding guidance, i.e. Official Coding Guidelines, Medicare/Medicaid Claims Processing Manual, OIG guidance, LCD/NCD documents and transmittals, and support audit findings with appropriate coding guidelines and regulatory references
• Ability to translate audit findings and identified trends into clear, actionable education and provide individualized feedback and one-on-one coaching to internal coders and auditors, supporting ongoing quality improvement
• Experience participating in or supporting peer review, audit-the-auditor, calibration, and other quality assurance activities to promote consistency, accuracy, and standardization.
• Strong computer skills including familiarity with EHR systems (e.g. EPIC, Cerner), navigating automated auditing tools, and the ability to transfer files in a secure manner in compliance with HIPAA policies
• Excellent verbal and written communication skills, including the ability to clearly and confidently communicate audit findings, coding rationale, education and constructive feedback to coders, auditors, and leadership
• Strong organizational and time-management skills with the ability to prioritize competing responsibilities, meet established deadlines, and maintain expected quality and productivity standards
• The ability to remain impartial and objective in finalizing and presenting audit findings

We also recognize that HIM professionals are our greatest asset and in return for your talents, we offer a dynamic work environment, career growth and development, strong leadership and TOP PAY! Additional benefits include:

• Medical, Dental, Vision and Life Insurance
• Training opportunities, yearly educational allowances and continuing education programs
• Dedicated support team for guidance and mentoring
• UASI's unique approach to employee appreciation which include: birthday recognition, holiday gift selections, years of service awards and quality bonus programs

As set forth in UASI’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.