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Outpatient Professional Fee Auditor (100% Remote)

  • Chicago, IL
  • Contract
  • Job ID: 22-00243

Title: Outpatient Professional Fee Auditor
Location: Remote
Type: Contract
Pay Rate: $35.00 – $41.00/hr 

SUMMARY

Review medical records and clinical documentation for accurate code assignment from outpatient medical records in accordance to official coding guidelines. Review patient encounters for accurate professional fee code assignment of all relevant diagnosis, modifiers and CPT procedures, including Evaluation & Managment. Provide feedback and recommendations on appropriate code assignment by providing detailed feedback and associated supporting references. Provide education regarding audit findings.

Perform daily professional fee quality audits, review medical record, ensure accurate coding based on Federal/State regulation, compliance with current industry standards (ICD 10 Guideline/Coding Clinic/CPT Assistant), and additionally ensure codes are clinically supported by diagnostic studies in the medical record.
Individually report quality audits daily to *** Coding and Audit Management for each provider audited.
Answer coding questions for providers daily.
Communicate directly with site coding management and providers
Perform education sessions for providers based on audit findings, including Evaluation and Management guidelines.
Daily communication with *** coding management.
Performs daily billable external audits, review medical record, ensure accurate coding based on Federal/State regulation, compliance with current industry standards (ICD 10 Guideline/Coding Clinic/CPT Assistant), additionally ensure codes are clinically supported by diagnostic studies in the medical record.

REQUIREMENTS
Must have a Coding Certification from AHIMA or AAPC
3+ years Outpatient Professional fee coding experience
ICD-10-CM & CPT and Evaluation and Management Coding Knowledge
EPIC/3M experience a plus
Candidates will be required to complete a coding assessment

We are interested in every qualified applicant who is eligible to work in the United States. However, we are not able to sponsor VISAs.
  
Please note: This client is not accepting candidates submitted by other staffing firms or agencies at this time. Thank you.

Applicants for this opportunity must have an unrestricted right to work in the United States.
[Persons in H-l, L-l, and OPT EAD status do not have unrestricted right to work.]
  
For immediate response please forward resumes to [email protected] | Stefany's LinkedIn
 
Stefany Dos Santos
IT Recruitment Manager
(Direct) 407-205-1127
(Office) 800-360-1407
www.valintry.com
 
For a complete list of our current openings, please visit VALiNTRYtechnology.com


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