ProFee Audit Specialist- PRN
Core
Performs Professional Fee coding audits of medical records and abstracts to ensure accurate coding assignment and compliance.
Role type
Professional Fee Coding Auditor
Builds
Accurate coding assignments and compliance assessments for healthcare clients
Domain
Healthcare / Medical Billing & Coding
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Professional Fee coding, Medical record auditing, ICD-10-CM, CPT, HCPCS, Modifiers, Regulatory compliance tracking, Case prioritization, Coder education
Preferred skills
CPMA certification, Experience with Epic/Cerner EMRs
Technologies
Epic, Cerner, AHIMA code of ethics
Responsibilities
Perform coding audits of medical records and abstracts, Provide rationale for identified coding changes, Keep abreast of regulatory changes, Organize and prioritize multiple cases, Provide coder education via the auditing process
Seniority
Mid-Senior, hands-on IC