Senior Auditing Consultant
Posted 2 days ago by Medasource
Negotiable
Undetermined
Remote
Remote
Summary: The Senior Auditing Consultant role is a remote position focused on conducting coding audits for interventional radiology procedures and various hospital settings. The consultant will ensure high-quality audit results, identify trends for quality improvement, and provide coding guidance to client staff. This position requires independent work within established workflows using client systems like Epic. The contract duration is between 3 to 6 months, starting as soon as possible.
Key Responsibilities:
- Perform inpatient, behavioral health, ambulatory surgery, emergency room, and other hospital outpatient audits, including evaluation and management (E/M) services for technical and professional reporting
- Conduct interventional radiology (IVR) coding audits in accordance with CIRCC CPT-only standards
- Maintain current, working knowledge of ICD-10 and CPT coding principles, government regulations, and healthcare reimbursement systems (MS-DRG, APR-DRG, IPPPS, APC, RBRVS)
- Utilize client systems (e.g., Epic) to access records, complete audits, and document findings accurately
- Identify audit result patterns, trends, and key problem areas, and communicate findings to the client as opportunities for quality improvement
- Provide coding guidance and answer technical questions from client staff as needed
- Deliver audit-related education or clarification based on audit results
- Ensure accuracy, consistency, and compliance in all audit outputs
- Complete all duties successfully from a remote office, effectively using coding reference materials and Microsoft Windows applications
- Conduct all business interactions with professionalism, flexibility, and a client- and colleague-centric focus
- Participate in internal meetings or training courses as requested
- Perform other related duties as required
Key Skills:
- Active CIRCC certification (required)
- Minimum 1+ year experience performing IVR coding audits
- Experience with Epic (preferred)
- Strong attention to detail and analytical skills
- Ability to work independently in a remote setting
- Current knowledge of ICD-10, CPT coding, and healthcare reimbursement systems
- Excellent communication skills for client and internal interactions
- Proficiency with Microsoft Windows applications
Salary (Rate): £28.00 hourly
City: undetermined
Country: undetermined
Working Arrangements: remote
IR35 Status: undetermined
Seniority Level: undetermined
Industry: Other
Senior Auditing Consultant
This is a Remote role.
Compensation: $28-35/hr
Contract Duration: 3-6 months
Start Date: ASAP
ABOUT THE ROLE
Our client is seeking a Senior Auditing Consultant for a remote, 3-6 month contract position starting as soon as possible. In this role, you will perform coding audits for interventional radiology (IVR) procedures using CIRCC CPT-only coding standards, as well as audits across a variety of hospital settings including inpatient, behavioral health, ambulatory surgery, and emergency room services. You will deliver accurate, timely, and high-quality audit results, identify trends and areas for quality improvement, and provide coding guidance to client staff. The consultant will work independently within established workflows, using client systems such as Epic, and will play a key role in supporting client compliance and quality initiatives. This is an excellent opportunity to contribute your expertise in a flexible, remote environment for a long-standing client.
WHAT YOU'LL DO
- Perform inpatient, behavioral health, ambulatory surgery, emergency room, and other hospital outpatient audits, including evaluation and management (E/M) services for technical and professional reporting
- Conduct interventional radiology (IVR) coding audits in accordance with CIRCC CPT-only standards
- Maintain current, working knowledge of ICD-10 and CPT coding principles, government regulations, and healthcare reimbursement systems (MS-DRG, APR-DRG, IPPPS, APC, RBRVS)
- Utilize client systems (e.g., Epic) to access records, complete audits, and document findings accurately
- Identify audit result patterns, trends, and key problem areas, and communicate findings to the client as opportunities for quality improvement
- Provide coding guidance and answer technical questions from client staff as needed
- Deliver audit-related education or clarification based on audit results
- Ensure accuracy, consistency, and compliance in all audit outputs
- Complete all duties successfully from a remote office, effectively using coding reference materials and Microsoft Windows applications
- Conduct all business interactions with professionalism, flexibility, and a client- and colleague-centric focus
- Participate in internal meetings or training courses as requested
- Perform other related duties as required
- Active CIRCC certification (required)
- Minimum 1+ year experience performing IVR coding audits
- Experience with Epic (preferred)
- Strong attention to detail and analytical skills
- Ability to work independently in a remote setting
- Current knowledge of ICD-10, CPT coding, and healthcare reimbursement systems
- Excellent communication skills for client and internal interactions
- Proficiency with Microsoft Windows applications