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Sr Auditing Consultant

Key Facts

Remote From: 
Freelance
Senior (5-10 years)
English

Other Skills

  • Microsoft Office
  • Professionalism
  • Adaptability
  • Communication
  • Social Skills
  • Customer Service
  • Writing
  • Detail Oriented
  • Reliability
  • Willingness To Learn

Roles & Responsibilities

  • RHIA, RHIT, CCS, CCS/P or CPC certification
  • 3+ years of experience in professional fee auditing (including all specialties)
  • Knowledge of CPT/ICD-10 coding principles and ICD-10/CPT-4 codes
  • Strong interpersonal, communication and writing skills; detail-oriented; ability to work independently; MS Office proficiency

Requirements:

  • Performs inpatient, behavioral health, ambulatory surgery, emergency room, and other hospital professional fee visits and/or evaluation/management coding audits for professional and/or facility reporting
  • Maintains working knowledge of reimbursement systems (IPPPS, APC, RBRVS)
  • Provides educational services to clients, coders and/or providers based on audit results
  • Analyzes audit results to identify patterns, trends, and key problematic areas and communicates opportunities for coder improvement initiatives

Job description

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Responsibilities:

  • Performs inpatient, behavioral health, ambulatory surgery, emergency room, other hospital Professional Fee visits, and/or evaluation/management coding audits for professional and/or facility reporting.
  • Has a working knowledge of reimbursement systems (IPPPS, APC, RBRVS)
  • Performs educational services to clients, coders and/or providers based on audit results
  • Has the ability to analyze audit results identifying patterns, trends, and key problematic areas with the ability to communicate specific opportunities for coder improvement initiatives
  • Utilizes a mini desktop computer in a virtual office, windows-based environment
  • Utilizes various coding books, procedure manuals and on-line encoders as a resource
  • Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
  • Maintains strict patient and physician confidentiality and follows all federal, state and hospital guidelines for release of information
  • Maintains current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols

Minimum Qualifications

  • RHIA, RHIT, CCS, CCS/P or CPC
  • 3+ years’ experience in professional fee auditing skills including all Specialties. 
  • Preferred coding skills: prospective payment methodologies, physician office billing
  • Knowledge of medical terminology, ICD-10 and/or CPT-4 codes
  • Must be detail oriented and have the ability to work independently
  • Computer knowledge of MS Office
  • Must display excellent interpersonal skills
  • Must have strong communication and writing skills

    Responsibilities:

  • Performs inpatient, behavioral health, ambulatory surgery, emergency room, other hospital Professional Fee visits, and/or evaluation/management coding audits for professional and/or facility reporting.
  • Has a working knowledge of reimbursement systems (IPPPS, APC, RBRVS)
  • Performs educational services to clients, coders and/or providers based on audit results
  • Has the ability to analyze audit results identifying patterns, trends, and key problematic areas with the ability to communicate specific opportunities for coder improvement initiatives
  • Utilizes a mini desktop computer in a virtual office, windows-based environment
  • Utilizes various coding books, procedure manuals and on-line encoders as a resource
  • Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
  • Maintains strict patient and physician confidentiality and follows all federal, state and hospital guidelines for release of information
  • Maintains current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols
  • Minimum Qualifications

  • RHIA, RHIT, CCS, CCS/P or CPC
  • 3+ years’ experience in professional fee auditing skills including all Specialties. 
  • Preferred coding skills: prospective payment methodologies, physician office billing
  • Knowledge of medical terminology, ICD-10 and/or CPT-4 codes
  • Must be detail oriented and have the ability to work independently
  • Computer knowledge of MS Office
  • Must display excellent interpersonal skills
  • Must have strong communication and writing skills

Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The annual range for this role is from 70K- 80K However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

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