[Hiring] Manager, Staff Aug Auditing @CorroHealth

Role Description

As a member of the Auditing Services Team at CorroHealth, the Manager for Auditing Services utilizes coding and auditing knowledge to assist the Leadership Team in maintaining high levels of client satisfaction through managing the overall quantity and quality of coding production for any and all assigned clients. They will manage a team of PB and HB Coding Auditing Specialists.

• Responsible for leading coding quality specialists (auditors) that provide internal hospital and physician (provider) auditing.
• Must have the ability to accurately audit and code (ICD-10-CM, ICD-10-PCS, CPT, HCPCS, Level I & II modifiers) various service types:
• Facility inpatient
• Emergency room
• Outpatient surgery
• Observation
• Ancillary
• Recurring therapy
• Clinic
• Professional
• Billing/coding edit resolution
• Collaborates with the MRC Coding Department on coding audits and training.

Qualifications

• National certification through AAPC or AHIMA.
• At least 5+ years of previous coding experience.
• Previous supervisory experience is required.
• Strong computer skills, proficient in Microsoft Office applications including Word and Excel.
• Ability to navigate in a variety of EMR environments and review hand-written charts.
• Strong verbal and written communication skills are required.
• Ability to prioritize workload, meet deadlines, and maintain a high level of quality and accuracy.
• Initiative, resourcefulness, and attention to detail.
• Regular, predictable, and punctual attendance is required.
• High level of personal integrity and the ability to professionally handle confidential matters.
• High degree of initiative, dependability, and ability to work with little supervision.

Requirements

• May be responsible for at least 50% of billable hours per month.
• Functions as a Subject Matter Expert (SME) for designated specialty.
• Participates in client discovery and kick-off calls.
• Responsible for quality assurance, report creation, and educational delivery for client projects.
• Coordinates with Leadership to facilitate scheduling of team and client deliverables.
• Assists in the hiring and exiting of auditors as needed.
• Manages, coaches, counsels, and disciplines Team Members.
• May be required to audit when other auditors are not available or additional client support is needed.
• Alerts and assigns auditors of new clients and sends out weekly assignments.
• Ensures auditors are meeting weekly billable hour expectations.
• Ensures auditors have access to client information and sends out updates as needed.
• Reviews the productivity report daily and ensures auditors are at acceptable productivity levels.
• Provides auditors with updates/changes within coding guidelines.
• Performs calls with each team member to review the most recent Productivity and Compliance reports.
• Responsible for training of new and existing auditors.
• Participates in and/or leads special projects requiring coding and/or auditing for clients across the organization.
• Provides back-up to leadership for client interaction when they are not available.
• Ensures procedures are being followed while suggesting ideas for streamlining processes.
• Ensures audit the auditor programs are initiated and completed.
• Aligns personal conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct.
• Complies with, promotes, and supports direct report’s compliance with all internal policies and procedures.
• Actively participates in Company provided training and education.
• Ensures compliance with all privacy and security rules and regulations.
• Thoughtfully evaluates risk and participates in the development of risk mitigation activities.
• Completes monthly coding audit tracker for both onshore and offshore coders.
• Communicates clear and accurate audit findings to Coding Leadership.
• Prepares all monthly coder audits for quality review.
• Monitors performance of coding quality staff.
• Upholds corrective action processes for Compliance, Performance, Conduct, and Attendance.
• Performs other duties as assigned.

Company Description

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable in achieving goals.

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.