ProFee E/M Medical Coding Auditor -Part Time GeBBS Healthcare Solutions, an industry leader in Health Information Management and Revenue Cycle Management solutions, is seeking highly motivated individuals with a passion for excellence and collaboration, for careers in the healthcare industry. We are hiring now and have an immediate need for an experienced ProFee E/M Medical Coding Auditor, working part time.ย This position will be responsible for conducting professional coding audits for audit clients.ย
Qualifications:
- Coding certifications (AAPC or AHIMA), (CPC, CCS-P, RHIA, RHIT) required.
- CPMA Preferred – Experienced ProFee Auditors Only:ย Minimum of 5 yearsโ experience preparing professional coding audits
- Strong knowledge of coding disciplines; Professional Coding & Audit and Professional Provider Education
- Extensive knowledge of medical terminology, medical billing and payment methodologies, including coding guidelines for ICD-10, CPT, HCPC, E/M, etc.
- Proficiency in teaching guidelines.
- Comprehensive knowledge of procedure and diagnostic coding for professional services and Medicare, Medicaid and other 3rd party payer coding and billing regulations.
- Demonstrated knowledge of 1995 and 1997 Evaluation and Management Documentation guidelines and other professional documentation requirements.ย
- Able to yield high quality coding audits via a manual coding audit process or technology enhanced audit tool
- Knowledge of quality metrics and commitment to enforcement of standards
- Cross functional expertise with the ability to work independently in a fast-paced environmentย
- Excellent verbal, written, and interpersonal communication skillsย
- Strong computer skills including MS Office (e.g., Excel and Word)ย – Ability to multi-task and set/meet multiple deadlines under pressure with initiative, tact, and poise
- US-based applicants only – Laptop and additionalย monitors will be provided
Responsibilities :
- The Professional Coding Auditor will support accurate coding audit reports and assist in preparation or execution of physician/coder education for GeBBS.
- Leverage extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding and billing to audit client charts and billing
- Analyze and identify opportunities for documentation improvement and prepare reports, presentations and recommendations based on the analysis
- Communicate with clients regarding findings and provide recommendations on actions to be taken for improvement
