Join our dynamic and fully remote team as an experienced Quality Assurance Coding Auditor! We pride ourselves on being a premier billing office serving over 1,800 providers across 30 different specialties. Our team values collaboration, innovation, and accountability, and we believe that a successful candidate will exemplify these attributes too.
As a Quality Assurance Coding Auditor, you will provide coding, revenue cycle, compliance support, and education to multi-specialty physicians, qualified health care professionals, support staff, and administration. You will monitor coding and billing activities to ensure compliance with federal and state statutes/regulations, review for clinical documentation improvement opportunities, and report recommendations to the appropriate stakeholders.
Compensation & Benefits
Starting salary: $36-$38 per hour, depending on experience.
Eligibility for performance-based bonuses.
Comprehensive benefits package including 90% employer-paid medical insurance, a generous 14.2% retirement contribution, reduced tuition, PTO and holiday pay, and more!
Employment Requirements
Successful completion of a background check.
Adherence to departmental policies, including a Telecommuting Agreement requiring a distraction-free and HIPAA-compliant workspace, cameras on for all virtual calls/meetings, and the ability to work during office hours (M-F, approximately 8am to 5pm Mountain Time).
New hires must provide their own monitors (two) and reliable internet service.
Responsibilities
Essential Functions:
Review and audit professional coding and billing from multiple departments and entities.
Report on the accuracy of procedure, E&M, ICD-10 coding and billing to ensure compliance with payer, legal, and procedural policies.
Review billing and revenue cycle processes for accuracy and process improvements.
Identify inaccurate coding practices; prepare reports of findings and meet with providers and medical office staff to provide education and training on accurate coding practices, compliance risks, and revenue cycle efficiencies.
Conduct education and training to department staff and clinical employees on correct documentation processes and coding guidelines.
Provide education based on clinical documentation requirements related to regulatory and reimbursement rules and regulations, reimbursement systems, and health insurance processing.
Meet productivity and accuracy expectations of the position.
Perform ad hoc projects and other duties as assigned.
Minimum Qualifications
Certification from AHIMA or AAPC (e.g., CPC, CPC-H, CPC-P, CCS, CCS-P, RHIA, RHIT) plus 4 years of coding, clinical, or billing experience, or equivalency (one year of education can be substituted for two years of related work experience).
Strong human relations and effective communication skills.
Proficiency with medical terminology.
Ability to perform the essential functions of the job as outlined in the position description.
Preferences
At least 4 years of coding experience, including at least two surgical specialty areas.
Intricate knowledge of coding rules as outlined by CMS, AHA, and AMA.
Ability to identify areas or items not in compliance with rules, present findings clearly to diverse groups, and recommend appropriate changes to policies and procedures.
Proficiency in writing, communication, and presentation skills.
Experience and understanding of Federal regulations and payer policies with the ability to interpret the information.
Problem-solving skills with the ability to identify and analyze root causes.
Proficiency with computer software such as Microsoft Word and Excel.
Special Instructions
While This Role Is Remote, Please Note
This position requires work during office hours, Monday through Friday, 8am to 5pm Mountain Time.
Preference may be given to Utah-based applicants as the University is committed to providing job opportunities to those living in remote areas of the state.
At this time, we are unable to employ individuals living in California, Colorado, New York, Oregon, or Washington.
This job description is not intended to be a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to the job.
Employment Type: Full-Time
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Quality Assurance
Industries
Human Resources Services
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