RESPONSIBILITIES

• Perform internal and external coding audits and communicate feedback to coders to correct errors and improve skill
• Ensure all HIM Consultants meet 95% or better accuracy and productivity standards as outlined in the HIM Compliance & Audit Plan and as applicable for the client they are supporting
• Coordinate with the Compliance and Audit Manager to perform education, action plans, or other measures necessary to assist those who are falling below the minimum 95% standard or are not meeting productivity standards
• Maintain expected productivity metrics for performing audits as outlined in the annual goals and objectives
• Notify Compliance & Audit Manager of any concerns regarding attendance, communication or general performance of any consultants within an audit
• Provide external education which include on-site education or web-based in-service sessions
• Assist and support Recruiters for further investigation of a Consultant’s skills as required for the prospective job submission
• Attend and train client trainings for onboarding and orientation of consultants on new assignments
• Act as point of contact to disseminate instructions and communications from the clients to the Consultants regarding policies, processes and productivity expectations
• Ensure all processes and policies are clearly documented and approved by client
• Facilitate issue resolution in conjunction with the Engagement Manager any issues escalations

QUALIFICATIONS

• RHIA, RHIT or CCS required
• 3+-years of auditing experience
• Thorough working knowledge and demonstrated experience in both MS-DRGs, APR-DRGs, and APC’s required
• Proficiency in the following codesets required: ICD-10-CM, ICD-10-PCS, CPT and professional services E&M coding. 5+ years of relevant experience required
• Working knowledge of state and federal regulations regarding fraud and abuse laws required
• Excellent verbal and written communications skills is a must
• Ability to multitask in a fast-paced environment
• Solid analytical and problem-solving skills
• Proven knowledge of MS Office products

Job Type: Full-time

Pay: $40.00 - $50.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• Monday to Friday

Work Location: Remote

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