Overview
Remote
Depends on Experience
Contract - W2
Skills
Auditing
HCPCS
ICD-10
AAPC risk adjustment
ambulatory coding
ICD-10-CM
CPT-4
RVUs
facility E/M
Medicare billing
reporting guidelines
risk adjustment
HCCs
clinical documentation integrity
coding compliance
coding audits
documentation audits
RHIA
RHIT
CCS-P
CPC
OP CDI
revenue cycle
telecommuting
EMR
electronic tools
multiple projects
client management
Solventum HIS
360 Encompass
Job Details
NOTE:
This is Part Time opportunity for 20 Hours per week (4 hours per day & 5 days a week).
The hours per day/week and days per week is flexible depending on the project.
- The person hired for the position of outpatient professional coding audit consultant will have a passion for imparting their knowledge and expertise in ambulatory coding (ICD-10-CM and CPT-4/HCPCS,) RVUs, facility E/M level assignment, Medicare billing/reporting guidelines, risk adjustment (e.g. HCCs), quality metrics, clinical documentation integrity and coding compliance.
- The person hired will be involved in coding and documentation audits of ambulatory/physician records, delivery of results, recommendations to customers, and customer education.
- The ideal candidate will be expected to work directly with the Audit/Compliance/Ambulatory team in Consulting Services.
Your Skills and Expertise
To set you up for success in this role from day one, requires (at a minimum) the following qualifications:
- Associate s degree or higher from an accredited university.
- RHIA, RHIT with CCS-P and/or CPC certification and minimum of five (5) years of outpatient and/or professional clinical coding
- Minimum of five (5) years of OP CDI experience related to outpatient (professional) revenue cycle
- Proficient Microsoft Word, Excel and PowerPoint and other Microsoft Office programs.
- Excellent verbal, written, presentation, analytical and organizational skills.
Additional qualifications that could help you succeed even further in this role include:
- Bachelor s or Master's degree in HIM, Nursing, or other healthcare clinical background.
- Recognized CDI credential from ACDIS (CCDS-O) or AHIMA (CDIP)
- AAPC risk adjustment certification
- Ability to solve problems in a logical, methodical, and time efficient manner
- Analytical skills related to independently interpreting, preparing, and analyzing data
- Demonstrated ability to effect change through team structures and achieve measurable outcomes
- Proven ability to maintain superior customer and employee relations in a fast-paced environment
- Experience with telecommuting, working with EMRs and other electronic tools
- Ability to work with multiple and diverse clients and projects
- Attention to detail, highly organized, with an absolute focus on quality of work
- Deep understanding of clinical documentation, medical record coding, healthcare billing and revenue cycle management
- Proven ability to manage multiple tasks and meet deadlines
- Proven ability to work independently and produce excellent results
- Knowledgeable in HIS software portfolio (360 Encompass).
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.