Outpatient Auditor

Position Description

Audit Outpatient and/or ProFee records to determine appropriate designation of diagnosis and procedure codes while maintaining compliance with coding guidelines and client guidelines.

Position Responsibilities

• Perform validation audits by analyzing, evaluating, and reviewing client (facility and/or physician) medical records to ensure accuracy of code assignment.
• Complete worksheets, spreadsheets and/or database entry based on audit findings.
• Demonstrate proficiency in coding including ICD-10-CM and CPT (including E/M coding) while maintaining a 95% accuracy.
• Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client-specific policies.
• Maintain productivity based on national standards and/or client-specific standards.
• One-on-One Mentoring reviews and calls with coders.
• Occasional productive coding of Outpatient and/or ProFee records as needed by Outpatient Coding and ProFee Coding teams.
• Work as a team player in a dynamic environment on multiple projects.
• Other duties as assigned based on company needs and client projects.

Certification/Experience

• RHIA/RHIT/CCS/CCS-P/CPC credential(s), required (at least one HIM/Coding credential)
• Basic knowledge and experience in Microsoft Office applications (Excel, Office, Word, Sharepoint, etc…), required
• Knowledge and 5 to 7 years of experience in Outpatient/ProFee coding, required
• Minimum 3 years of experience in Outpatient/ProFee auditing, preferred
• Experience with Cerner Powerchart, preferred
• Experience with EPIC, preferred
• Experience with TruCode, a plus
• Knowledge of Interventional Radiology experience, a plus

“YES fosters a collaborative work environment through cross-training.  Our team is successful because everyone is ready and willing to help each other out whenever the need arises.”

Sarah – RHIA, CCS-P