ProFee/Outpatient Auditor

TC Industries Of Canada Company; Orlando (FL); Remote; USD 70,000 - 90,000; Full time

Job summary

A dynamic healthcare company is seeking a ProFee/Outpatient Auditor to work remotely. The role requires auditing medical records for coding compliance and proficiency in various coding systems. Ideal candidates should hold relevant HIM/Coding credentials and possess significant experience in ProFee coding and auditing. The position offers a comprehensive benefits package including health insurance, retirement plans, and continuous education opportunities.

Benefits

401(k) Retirement

Bonuses

Health Insurance

Continuous Education with Approved CEs

Paid Holidays, Sick, and Vacation Time

Qualifications

• Proficiency in coding classification systems ICD-10-CM, CPT, and HCPCS.
• 3 to 5 years of experience in ProFee auditing preferred.
• Knowledge of Interventional Radiology experience is a plus.

Responsibilities

• Audit ProFee records for appropriate coding compliance.
• Perform validation audits of client medical records.
• Maintain productivity based on national standards.

Skills

RHIA/RHIT/CCS/CCS-P/CPC credential(s)

Basic knowledge of Microsoft Office

5 to 7 years of experience in ProFee coding

Knowledge of general surgery procedures

Experience with Cerner Powerchart

Education

HIM/Coding credential

Tools

Microsoft Excel

Microsoft Word

Sharepoint

EPIC

TruCode

Job description

Overview

POSITION: ProFee/Outpatient Auditor

STATUS: Full-Time

LOCATION: Remote

SCHEDULE: Monday through Friday

FLSA STATUS: Non-Exempt / Eligible for Overtime

Responsibilities

• Audit ProFee records to determine appropriate designation of diagnosis and procedure codes while maintaining compliance with coding guidelines and client guidelines.
• Perform validation audits by analyzing, evaluating, and reviewing client (facility and/or physician) medical records to ensure accuracy of code assignment.
• Complete worksheets, spreadsheets and/or database entry based on audit findings.
• Demonstrate proficiency in coding classification systems ICD-10-CM, CPT, and HCPCS (including E/M coding) while maintaining a 95% accuracy.
• Follow and adhere to NCCI edits, CPT assistants, and AHA coding guidelines.
• Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies.
• Maintain productivity based on national standards and/or client specific standards.
• One-on-One Mentoring reviews and calls with coders.
• Occasional productive coding of ProFee records as needed by ProFee Coding teams.
• Work as a team player in a dynamic environment on multiple projects.
• Other duties as assigned based on company needs and client projects.

Qualifications

• RHIA/RHIT/CCS/CCS-P/CPC credential(s), required (at least one HIM/Coding credential).
• Basic knowledge and experience in Microsoft Office applications (Excel, Office, Word, Sharepoint, etc…), required.
• Knowledge and 5 to 7 years of experience in ProFee coding, required.
• Minimum 3 to 5 years of experience in ProFee auditing, preferred.
• Experience with Cerner Powerchart, preferred.
• Experience with EPIC, preferred.
• Experience with TruCode, a plus.
• Knowledge of general surgery and multiple specialty surgical procedures, required.
• Knowledge of Interventional Radiology experience, a plus.

Benefits

• We offer a comprehensive and robust benefit package.
• 401(k) Retirement
• 401(k) Retirement Company Matching
• Bonuses (per clients’ request)
• Collaborative Team Environment
• Company Supplied Equipment
• Continuous Education with Approved CEs
• Cross-Training Opportunities for Career Growth
• Dental Insurance
• Disability Insurance (Short-Term and Long-Term)
• Health Insurance (Nationwide Coverage)
• Holiday Shift Differential Pay (per clients’ request)
• Life Insurance
• Overtime Pay (per clients’ request)
• Paid Holidays, Sick, and Vacation Time
• Vision Insurance

Equal Employment Opportunity

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. We are a participant of E-Verify.