Coding Auditor – Ambulatory/Professional Coding/Profee

Key Responsibilities

• Knows, understands, incorporates, and demonstrates Huron’s Vision, and Values in behaviors, practices, and decisions.
• Coding Auditor
• Responsible for the auditing of coders and/or “audit the auditors” to ensure coding accuracy of a minimum of 95% is met.
• Perform quality checks/audits on visits coded as per client SOPs.
• Perform calibration audits.
• Suggest improvements and schedule calibration sessions with offshore team counterparts and leaders.
• May assist in preparing audit reports, share direct feedback to coders and auditors on areas of opportunity, participate in client interactions and internal stakeholder meetings.

Core Qualifications

• Current permanent United States Work Authorization required
• Working in the United States Day shift schedule required
• Experience in coding specialties such as E&M, Oncology, Acute, Ambulatory, Cardiology, Radiology, Pathology, Anesthesia, Emergency Room, Surgery, and others
• 2+ years previous experience as a professional/profee/ambulatory coding auditor
• 3+ years of experience coding professional/profee/ambulatory accounts
• Advanced proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, Visio, SharePoint)
• Analytical skills (problem solving, quantitative, workflow process, etc.)
• Pay close attention to details; strong follow-up and follow-through skills
• Excellent time management skills; organized; ability to prioritize completing multiple tasks on schedule in a deadline driven environment
• Requires the use of independent judgement, discretion and decision-making abilities
• Ability to interact with internal and external customers in a professional manner
• Ability to ramp up on a client’s environment, processes, historical context, and systems to provide support to an engagement as soon as possible
• Financial acumen and analytical skills are required
• Experience working with data from various sources preferred
• Familiarity with revenue cycle systems, deep understanding of revenue cycle process flow and financial analysis
• Desire to work as part of a team in a partnership role
• Strong oral and written communication skills, analytical skills, ability to work independently, and be self-motivated are required
• Flexible and adaptable to change

Physical Demands

• This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time.

Technical Qualifications

• Required Certifications: Certified Professional Coder (CPC) through AAPC
• Preferred Certifications: AAPC CPMA (Certified Professional Medical Auditor), Registered Health Information Administrator (RHIA) preferred
• Encoder experience (3M/Solventum, Encoder Pro, Codify) preferred
• Epic experience preferred
• Cerner experience preferred
• Meditech experience preferred

Key Performance Indicators (KPIs)

• Coding Auditing Productivity: ≥ 95%
• Coding Auditing Accuracy: ≥ 95%

Pay Range

The estimated pay range for this job is $26.44 - $37.50 per hour.