[Hiring] Auditing & Education Consultant @CorroHealth

Role Description

Serves in a consulting role by evaluating the work of client’s coders in their assignment of ICD-10, CPT and/or HCPCS codes to hospital inpatient, outpatient and/or physician practice encounters. Performs concurrent or retrospective reviews to inventory code assignments and report the data to the client. Develops and delivers educational content to clients related to audit findings.

This is a remote position.

Essential Duties and Responsibilities

• Perform complex concurrent and/or retrospective analysis of inpatient medical record documentation to validate coded data in accordance with AHA, CMS, AHIMA, Coding Clinic, and official ICD-10 guidelines.
• Analyze findings and identify potential root causes of produced errors.
• Prepare summary reports of findings to clients, supplying specific references supporting findings contained within the provided audit report.
• Provide second-level review of processes to ensure compliance with legal and procedural policies and to ensure appropriate code assignments.
• Research, analyze, and respond to inquiries regarding compliance, coding, and denials.
• Protect the privacy and confidentiality of patient health and client information, and follow the Standards of Ethical Coding as set forth by AHIMA and adhere to official coding guidelines and compliance practices, standards, and procedures.
• Function as a member of the Consulting Services Team which develops and provides coding education to clients.
• Conduct audits as assigned, meeting the productivity standards as set by record type for each audit, with a threshold for billable productive hours expected to be at or above 80%.
• Prepare deliverables for the client as required for the audit scope while meeting timelines.
• Conduct independent QA of assigned audit results prior to final submission for QA review and approval, with a minimum accuracy expectation of 95%.
• Report work time and work products in a timely and accurate manner.
• Communicate with coworkers in an open and respectful manner that promotes teamwork and knowledge sharing.
• Interact with clients in a professional manner that exhibits excellent relationships, work performance, and communication skills to support the company and its business interests.
• Provide a schedule of planned work activities, events, and sites, and any changes to Management and appropriate staff.
• Maintain professional credentials and knowledge of coding, reimbursement, and compliance issues through continuing education.
• Periodic travel, as applicable.
• Other duties and responsibilities, as assigned.

Qualifications

• Active AHIMA or AAPC credential. CCS, RHIT, CPC preferred.
• Minimum 5 years of current inpatient and outpatient coding and/or auditing experience in an acute care hospital or equivalent consulting environment.
• Demonstrated understanding of inpatient reimbursement methodologies, regulatory compliance, and audit best practices.
• Strong analytical, problem-solving, and critical-thinking skills.
• Proficient computer skills, specifically Microsoft Office Products.
• Ability to translate complex regulatory requirements into clear, client-focused guidance.
• Proficiency with multiple electronic health records (e.g., EPIC, Powerchart, Meditech, etc.).
• Strong written and verbal communication skills suitable for executive-level and operational audiences.
• Ability to manage multiple client engagements independently while meeting quality and productivity expectations.
• High attention to detail with a commitment to accuracy and ethical practice.
• Collaborative, consulting-oriented mindset with the ability to work effectively in a remote environment.

Physical Requirements and Demands

• Regular eye-hand coordination and manual dexterity is required to operate office equipment.
• The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required.
• At times, incumbents are subject to sitting for prolonged periods.
• Infrequently, incumbents must be able to lift and move material weighing up to 20 lbs.
• Incumbents may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.