Outpatient Professional Coding Audit Consultant (Part Time/ 100% Remote)

Outpatient Professional Coding Audit Consultant (Part Time/ 100% Remote)

Posted 2 weeks ago by 1755325325

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Negotiable
Outside
Remote
USA
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Billing Encompass (Mortgage Software) External Auditing Income / Revenue Management Microsoft 365 Microsoft Excel Microsoft Office Microsoft PowerPoint Microsoft Word Revenue Cycle Management Software Coding

Summary: The Outpatient Professional Coding Audit Consultant is a part-time role requiring 20 hours per week, focusing on ambulatory coding audits and compliance. The consultant will engage in coding and documentation audits, provide recommendations, and educate clients. The position demands expertise in ICD-10-CM, CPT-4/HCPCS coding, and clinical documentation integrity. The ideal candidate will collaborate with the Audit/Compliance/Ambulatory team within Consulting Services.

Key Responsibilities:

  • Conduct coding and documentation audits of ambulatory/physician records.
  • Deliver results and recommendations to customers.
  • Provide customer education on coding compliance and documentation integrity.
  • Collaborate with the Audit/Compliance/Ambulatory team in Consulting Services.

Key Skills:

  • Associate's degree or higher from an accredited university.
  • RHIA, RHIT with CCS-P and/or CPC certification and minimum of five (5) years of outpatient and/or professional clinical coding experience.
  • Minimum of five (5) years of OP CDI experience related to outpatient revenue cycle.
  • Proficient in Microsoft Word, Excel, PowerPoint, and other Microsoft Office programs.
  • Excellent verbal, written, presentation, analytical, and organizational skills.
  • Bachelor's or Master's degree in HIM, Nursing, or other healthcare clinical background (preferred).
  • Recognized CDI credential from ACDIS (CCDS-O) or AHIMA (CDIP) (preferred).
  • AAPC risk adjustment certification (preferred).
  • Ability to solve problems logically and efficiently.
  • Analytical skills for interpreting and analyzing data.
  • Ability to effect change through team structures and achieve measurable outcomes.
  • Proven ability to maintain superior customer and employee relations.
  • Experience with telecommuting and electronic tools.
  • Attention to detail and focus on quality of work.
  • Deep understanding of clinical documentation, medical record coding, healthcare billing, and revenue cycle management.
  • Proven ability to manage multiple tasks and meet deadlines.
  • Knowledgeable in HIS software portfolio (360 Encompass).

Salary (Rate): undetermined

City: undetermined

Country: USA

Working Arrangements: remote

IR35 Status: outside IR35

Seniority Level: undetermined

Industry: Other

NOTE:

This is Part Time opportunity for 20 Hours per week (4 hours per day & 5 days a week).

The hours per day/week and days per week is flexible depending on the project.

  • The person hired for the position of outpatient professional coding audit consultant will have a passion for imparting their knowledge and expertise in ambulatory coding (ICD-10-CM and CPT-4/HCPCS,) RVUs, facility E/M level assignment, Medicare billing/reporting guidelines, risk adjustment (e.g. HCCs), quality metrics, clinical documentation integrity and coding compliance.
  • The person hired will be involved in coding and documentation audits of ambulatory/physician records, delivery of results, recommendations to customers, and customer education.
  • The ideal candidate will be expected to work directly with the Audit/Compliance/Ambulatory team in Consulting Services.

Your Skills and Expertise

To set you up for success in this role from day one, requires (at a minimum) the following qualifications:

  • Associate s degree or higher from an accredited university.
  • RHIA, RHIT with CCS-P and/or CPC certification and minimum of five (5) years of outpatient and/or professional clinical coding
  • Minimum of five (5) years of OP CDI experience related to outpatient (professional) revenue cycle
  • Proficient Microsoft Word, Excel and PowerPoint and other Microsoft Office programs.
  • Excellent verbal, written, presentation, analytical and organizational skills.

Additional qualifications that could help you succeed even further in this role include:

  • Bachelor s or Master's degree in HIM, Nursing, or other healthcare clinical background.
  • Recognized CDI credential from ACDIS (CCDS-O) or AHIMA (CDIP)
  • AAPC risk adjustment certification
  • Ability to solve problems in a logical, methodical, and time efficient manner
  • Analytical skills related to independently interpreting, preparing, and analyzing data
  • Demonstrated ability to effect change through team structures and achieve measurable outcomes
  • Proven ability to maintain superior customer and employee relations in a fast-paced environment
  • Experience with telecommuting, working with EMRs and other electronic tools
  • Ability to work with multiple and diverse clients and projects
  • Attention to detail, highly organized, with an absolute focus on quality of work
  • Deep understanding of clinical documentation, medical record coding, healthcare billing and revenue cycle management
  • Proven ability to manage multiple tasks and meet deadlines
  • Proven ability to work independently and produce excellent results
  • Knowledgeable in HIS software portfolio (360 Encompass).
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