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Profee and Risk Auditor

Overview

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Responsibilities:
Audit ICD-10-CM diagnosis codes as applicable.
Audit E&M and/or CPT codes for outpatient services as applicable.
Perform audits that meet and/or exceed quality and productivity standards. 
Provide feedback for documentation improvement based on established best practices.
 
Requirements:
3 years of experience in auditing professional fee services to include documentation improvement, best practices, and provider education/feedback.
2 years of experience in risk adjustment preferred.
CPC and CPMA are required. CPC-A not eligible at this time.
CRC as additional certification preferred. 
Ability to shift between varied guidelines per project needs. 
Experience with Excel, EMRs, and Encoders.
Computer skills proficiency – MS Windows, MS Office (including Excel), Teams, Internet, etc.
High Speed Internet access.
 
Skills Needed:
Extensive knowledge of ICD-10-CM, CPT, Coding Clinic, and CPT Assistant as well as CMS guidance. 
Extensive knowledge of risk adjustment methodologies. 
Reliability and determination to meet standards as expected. 
Discipline and dedication to succeed while working remotely with minimal oversight. 
 
Location: Remote,
Type: Contract
Pay: Apply for details

1376

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