Role Description
As a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to:
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Coding quality
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Compliance assessments
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External payer reviews
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Coding education
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Interim coding management
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Coding workflow operations reviews
This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace!
What You Will Do:
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Perform Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers.
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Provide rich and concise rationale explaining the reasoning behind any identified changes, including specific references and location of documentation.
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Keep abreast of regulatory changes.
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Organize and prioritize multiple cases concurrently to ensure departmental workflow and case resolution.
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Provide coder education via the auditing process.
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Function in a professional, efficient, and positive manner.
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Adhere to the American Health Information Management Association (AHIMA)βs code of ethics.
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Exhibit customer-service focus, professionalism, flexibility, dependability, desire to learn, commitment to excellence, and commitment to profession.
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Handle high complexity of work function and decision making.
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Demonstrate strong organizational, teamwork, and leadership skills.
Qualifications
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5+ years of Professional Fee coding and/or auditing.
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CPC (required).
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CPMA (preferred).
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Maintain 95% accuracy rate.
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Experience with various software including Epic, Cerner, and other prevalent EMRs.
Benefits
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Medical, Dental, Vision, 401k Savings Plan w/match.
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2 weeks of paid time off, and Paid Holidays, Floating Holidays.
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Free CEUs every year.
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Stipend provided to assist with education and professional dues (AHIMA/AAPC) if applicable.
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Equipment: monitor, laptop, mouse, headset, and keyboard.
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Comprehensive training led by a credentialed professional coding manager.
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Exceptional service-style management and mentorship.
The estimated base pay range per hour for this role is: $35 - $45 USD.
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.
Company Description
Datavant is the data collaboration platform trusted for healthcare, guided by our mission to make the worldβs health data secure, accessible, and actionable.
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We provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
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Datavanters are building the future of how data is connected and used to improve health.