JOB SUMMARY:The Sr. Auditing Consultant accurately examines and evaluates the medical record and health information for accuracy in coding for hospital outpatient and physician coding.
Responsibilities:
- Performs ambulatory surgery, emergency room, other hospital outpatient visits, and evaluation/management coding audits for technical and/or professional reporting
- Performs educational services to clients/coders 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 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
- Participates in staff meetings, trainings and conference calls as requested
Minimum Qualifications - RHIA, RHIT, CCS, CCS/P or CPC
- 3+ years' experience including inpatient and/or outpatient and/or professional fee coding skills as well as ambulatory surgery, APC, emergency room, evaluation and management, auditing, required
- 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
Savista is required by state-specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is $80,000-$90,000 annually. 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.
