Profee Audit Specialist
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Job Description
Profee audit specialist performing medical-record coding audits for Datavant, a healthcare data collaboration platform. Ensuring accurate, compliant coding and educating coders.
Responsibilities:
- Perform Professional Fee coding audits of medical records and abstracts
- Use ICD-10-CM, CPT, HCPCS, modifiers, and appropriate coding references for accurate coding assignment
- Provide concise rationale for identified changes, including specific references and documentation locations
- Keep abreast of regulatory changes
- Organize and prioritize multiple cases concurrently to ensure workflow and case resolution
- Provide coder education through the auditing process
- Address consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews
- Identify and present solutions for customer issues
- Adhere to AHIMA's code of ethics
- Make complex work-function and decision-making judgments
Requirements:
- 5+ years of Professional Fee coding and/or auditing
- CPC required
- CPMA preferred
- Maintain a 95% accuracy rate
- Experience with Epic, Cerner, and other prevalent EMRs
- Experience with multi-specialties preferred
- Availability within normal business hours preferred
- Customer-service focus and professionalism
- Flexibility, dependability, desire to learn, and commitment to excellence and the profession
- Strong organizational, teamwork, and leadership skills
- This job is not eligible for employment sponsorship
Benefits:
- $2,500 sign-on bonus
- Medical, dental, and vision benefits for full-time employees
- 401k Savings Plan with match
- 2 weeks of paid time off
- Paid holidays and floating holidays
- Free CEUs every year
- Stipend to assist with education and professional dues (AHIMA/AAPC), if applicable
- Equipment provided: monitor, laptop, mouse, headset, and keyboard
- Comprehensive training led by a credentialed professional coding manager
- Exceptional service-style management and mentorship
- Flexible schedule
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