E&M/Profee Auditor

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Responsibilities:
Audit E&M leveling including element of risk for outpatient services as applicable.
Audit ICD-10-CM diagnosis codes 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.
CPC and CPMA are required. CPC-A not eligible at this time.
CEMC will also be considered.
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. 
Reliability and determination to meet standards as expected. 
Discipline and dedication to succeed while working remotely with minimal oversight. 
Bonus Experience:

• Risk Auditing (Medicare Advantage exp is mandatory, bonus points for HHS/ACA/commercial and/or other models like PACE, CDPS, etc)  
• Auditing CPT/procedures
• 2 years of experience in risk adjustment preferred.
• CRC as additional certification preferred. 

Location: Remote,
Type: Contract
Pay: Apply for details

1440

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