Professional Fee Coding Auditor

📋 Description

• Independently audit inpatient and outpatient professional-fee coding for accuracy, documentation
• Evaluate ICD-10-CM, CPT, HCPCS Level II, evaluation and management, professional-component
• Verify provider information, scope of practice, billability, and documentation supporting reported
• Review diagnoses and procedures documented in electronic health records and approved audit tools
• Identify incorrect, missing, unbundled, upcoded, downcoded, unsupported, or otherwise noncompliant
• Document each audit finding with appropriate supporting authority, financial impact, risk

🎯 Requirements

• Active RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H credential from an accepted professional organization.
• At least two years of professional coding experience in the applicable coding area.
• At least three years of consultant experience reviewing records in large tertiary-care hospitals
• At least three years of education and training experience, including the ability to present audit
• Strong knowledge of ICD-10-CM, CPT, HCPCS Level II, evaluation and management services, modifiers
• Demonstrated ability to evaluate provider documentation and determine whether reported professional

🎁 Benefits

• Compensation: Estimated total compensation of $38.00 per hour.
• Work arrangement: Fully remote within the United States.
• Employment options: Full-time or part-time, depending on assigned workload.
• Contract period: Expected performance period from January 1, 2027 through December 31, 2031, if all
• Professional impact: Opportunity to improve coding accuracy, documentation quality, compliance
• Specialized experience: Exposure to professional-fee coding audits, compliance review