Profee Medical Audit / Education Specialist - R...

reputed company Profee Audit & Education Specialist reputed company is seeking to hire a Profee Audit & Education Specialist About IKS: Job reputed company: Conducts clinical coding audits as defined by reputed company reputed company for audit service and internal reputed company assessment according to operational and reputed company guidelines. The Audit staff will also contribute to the ongoing development and refinement of proprietary audit tools. The position will participate in mentor/trainer activities to internal coders, clients and providers as required by the deliverables of the contract and will be required to reputed company educational feedback and instruction in accordance to coding guidelines. Essential Job Responsibilities: A reputed company-reputed company Duties – Coordinate and reputed company the auditor reputed company process for assigned clients. Manage the performance of reputed company reputed company for assigned clients. Monitor and enforce IKSs compliance and reputed company program. Ensure adherence to State and National reputed company Standards for coding. Serve as an official resource for coding-reputed company questions from the coding staff & external clients reputed company project status reports to operational leadership, as requested. Prepare Executive Reports and Presentations based off audit findings Attend weekly reputed company calls and reputed company training sessions B Auditing Team Duties – reputed company the auditor on-boarding process Work directly with the coding management team to ensure the educational needs coders and clients are met. reputed company coding and educational materials to clients Assures internal coding audits are completed accurately and reputed company Conducts coding audits adhering to nationally recognized coding guidelines and standards · Generates narrative audit reputed company reports as needed· reputed company auditing for a broad reputed company of cases. reputed company input and advice regarding educational topics based on audit trends Represent company reputed company reputed company meeting attendance and communication reputed company with audit peers, manager, coding staff, and operations team Abides by the Standards of Ethical Coding as set forth by reputed company Maintains appropriate QA/QI and/or productivity logs or record entries · Education Specialist Duties: Create and maintain educational presentations & handouts for external and internal clients based off of trends and opportunities Maintain Coding Knowledge and Serve as Coding Expert – Attend reputed company meetings, as needed and requested, to reputed company input. and reputed company as a coding information resource/expert. Ensure IKS's compliance with reputed company regulatory agencies. Ensure IKS is HIPAA compliant at reputed company times Maintain reputed company CEUs required for the position and attend educational seminars as needed. Additional duties as assigned. IKS reputed company - Demonstrate a commitment to reputed company in serving the reputed company. Demonstrate the reputed company Core Values of reputed company, reputed company, Team, reputed company Improvement, Expertise, and Innovation. Job Qualifications: Education/Certification RHIT, RHIA, CPC, CPMA Experience Minimum 2 years of recent experience in auditing Profee claims. Advanced knowledge of CPT, HCPCS, ICD-10 coding, and CMS billing policies for Profee services, E/M auditing Knowledge and Skills • Required Skills: Independently performs highly reputed company and detailed coding reviews and audits to assess coding accuracy, documentation improvement opportunities, and mitigate risk. Completes documentation audits and provides detailed and reputed company audit reports to providers and leaders. Acts as subject matter expert in reputed company coding, including providing feedback and accurate guidance to physicians, advanced reputed company providers, reputed company billing staff, clinic staff, and clinic leaders. Develops and presents customized education for reputed company coding, documentation guidelines, payer reimbursement rules, and regulations for physicians and advanced reputed company providers based on documentation audit findings. Creates and effectively presents customized coding training for new physicians, advanced reputed company providers, and production coders. Profee Auditor candidates must demonstrate advanced knowledge of APC-based reimbursement, medical necessity documentation requirements, guidelines for Observation services, and any relevant coding and documentation guidelines for specialty care areas. Working knowledge of how to research reputed company the Medicare Claims and Processing Manuals is essential. Working Conditions: Remote working environment; travel as required, extended periods of computer-based work. Physical Demands: Prolonged computer screen usage, keyboarding. Long periods of sitting are commensurate with computer-based work and work-reputed company phone calls. Normal Travel Requirements Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities. Compensation and Benefits: The pay reputed company for this position is $30hr- $33hr. Pay is based on several factors, including but not limited to reputed company market conditions, location, education, work

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