Remote Pro Fee Auditor

Position Summary

Responsible for Reviewing Completed Professional fee Coding for clinic and Facility. This will include reviewing the coding of multispecialty visits including Profee E&M Levels from the appropriate documentation in the medical record. Classification systems include ICD-10-CM, CPT, Physician E&M Level, Healthcare Common Procedure Coding System (HCPCS) as well as other specialty systems as required by diagnostic category.

All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-10, Centers for Medicare and Medicaid Services (CMS), Office of Statewide Health Planning and Development (OSHPD), and organizational/institutional coding guidelines.

Maintains a working knowledge of ICD-10, CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.

Assures that all services documented in the patient's chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards.

Coders must maintain their current professional credentials.

Minimum Required Qualifications

• High school diploma or equivalent required.
• Requires one of the following coding credentials: AHIMA (RHIA, RHIT, CCS), AAPC (CPMA, CPC)
• Must be proficient with Physician and Facilities Coding Standards.
• Minimum of Ten (10) years' experience in profee coding.
• Minimum of five (5) years' experience in Professional Fee auditing.
• Working knowledge of ICD-10-CM/PCS.

Length of Assignment

Ongoing

Shift / Hours Per Week

PRN (about 32hrs/month)

Start Date

ASAP

Facility Location

Pinehurst is a village in Moore County, North Carolina now famous for its Spa and Golf Academy. In 2000 Pinehurst had a population of 9,706, so you can imagine how it must have grown since then. It is also home to the Pinehurst Resort where in 1936 the PGA Championship took place and in 1951 The Ryder Cup.

About The Company

At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.