We are looking for the best and most passionate medical coding auditors to become part of our team. If you are a self-motivated, team player and have coding auditing experience, consider a position with Haugen Consulting Group! 100% work remotely!
The professional fee coding auditor will be responsible for conducting reviews of medical records and assignment of appropriate CPT and ICD-10-CM codes to ensure compliance with coding guidelines, and State and Federal regulations.
Haugen Consulting Group (HCG) is committed to providing a collaborative approach to consulting, education and auditing. Our auditing services encompass ICD-10 and CPT for facility and professional fee coders with attention on coder education. Our solutions are customized for each organization’s unique requirements.
JOB DESCRIPTION
The Auditor is responsible for conducting audits of the medical coding and will ensure compliance with Federal and State regulations.
ESSENTIAL FUNCTIONS
- Perform coder audits on a regular basis as defined by compliance requirements and client expectations, determine when additional education is necessary and assist the education team in meeting those needs.
- Evaluate the appropriateness of the CPT and ICD-10-CM diagnosis codes assigned based on the supporting documentation and in accordance with coding guidelines.
- Consult and educate client coding staff on coding practices and conventions in order to provide detailed coding information.
- Identify client coding needs and assist in developing solutions proactively by sharing best practices and knowledge.
- Participate in the development of coding policies and procedures as requested by clients.
- Design and coordinate training programs based on organizational and employee needs, with the assistance of the education team.
- Serve as the subject matter expert on interpretation and application of coding rules and regulations.
- Assist in compiling training materials for specific topics (articles, blogs, resources for clients to include desk aids, newsletters, tip sheets, etc.).
- Assist with the writing of new coding content for online, webinar and instructor led training (ILT) delivery.
- Plan and complete assigned work within the engagement with high quality, on time and on budget.
- Prepare and deliver executive-level presentations.
- Serve as a professional representative of Haugen Consulting Group in all public and client settings.
- Identify new business opportunities.
- Document discoveries and outcomes of work performed and prepare recommendations for implementation of new systems, procedures or organizational changes utilizing HCG documents.
- Attend and participate in required HCG meetings
- Participate in team coding discussions to support the needs of the client
- Maintain a current working knowledge of CPT and ICD-10-CM coding through regular review of industry publications (e.g., Coding Clinic, CPT Assistant, CMS transmittals).
WORK ENVIRONMENT
This position operates in a client connectivity location or an established home office setup with high-speed internet. The position requires the ability to remotely access VPN’s for healthcare organizations. This role routinely uses standard office equipment such as computers, telephones, and printers.
PHYSICAL DEMANDS
The physical demands listed here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the role of the Senior Coding Quality Auditor, the employee is required to have visual, verbal and auditory communication with clients and coworkers. The employee is required to read computer screens and type on the computer on a full-time basis.
QUALIFICATIONS AND EDUCATION REQUIREMENTS
- Certified Professional Coder (CPC) in good standing
- Certified Professional Medical Auditor (CPMA) preferred
- Designated home office area with documented high speed internet connectivity
- Valid driver’s license with a good driving record
REQUIRED SKILLS
- Five years of experience in ICD-10-CM and CPT professional fee auditing
- Auditing experience for Evaluation and Management (E/M) for all settings and levels of care
- Strong CPT surgical auditing knowledge
- Knowledge of current teaching physician guidelines from CMS
- Demonstrated competent knowledge of CMS guidance as it relates to ICD-10-CM coding and HCC coding
- Ability to understand and navigate health information systems, including electronic medical records and encoding/computer assisted coding software for multiple clients
- Ability to think and work independently while using good judgement
- Strong analytical, independent decision making, problem solving, verbal and written communication skills
- Ability to adapt to changes in priorities and then set and organize own priorities in a way that supports the bigger picture
- Work both independently and within a team
- Maintain a thorough understanding of anatomy and physiology, medical terminology, disease process, and surgical procedures in order to accurately apply ICD-10-CM and CPT coding guidelines
- Ability to keep up to date with professional research and knowledge and share best practice with team members
- Proficient in Excel
- Ability to create clear and concise audit reports
- Maintain productivity standards
- Must successfully pass pre-hire coding assessment
PREFERRED SKILLS
- Additional coding credentials or certificates
- Educational content development experience
SOFTWARE
- Proficiency in Microsoft Office products
- Familiarity with EMR systems such as Epic, Athena, Meditech, Cerner, and/or other healthcare information systems
COMPENSATION AND BENEFITS
Haugen Consulting Group is an equal opportunity employer offering a competitive compensation and benefits package.
The list of duties set out in this Job Description should not be regarded as exclusive or exhaustive.
Job Type: Full-time
Pay: $80,000.00 - $103,000.00 per year
Benefits:
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Schedule:
Work setting:
Experience:
- E/M, CPT & ICD-10-CM auditing: 5 years (Required)
- E/M, CPT & ICD-10-CM coding: 3 years (Preferred)
License/Certification:
Work Location: Remote