Advize ยท 5 hours ago
Auditor
United States
Full-time
Remote
Senior Level
5+ years exp
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Hiring Manager
Jeanmarie Loria, MBA, PMP, CPC
Insider Connection @Advize
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Responsibilities
Analyze and interpret documentation from medical records
Clearly document audit findings and calculate billing error rates
Perform coding compliance and quality audits in support of client expectations
Provide feedback and education as appropriate depending on findings
Articulate audit findings appropriate to the audience
Prepare written audit analysis and summary reports, including corrective action necessary to mitigate risk
Conduct ad hoc coding and billing audits as requested
Stay abreast of relevant coding and billing guidelines
Research, develop and present education to coders based on individual and team audit analysis
Qualification
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Required
Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P), Registered Health Information Technician (RHIT), or Registered Health Information Administer (RHIA)
5+ years Outpatient Facility Coding Experience, including ICD-10-CM, CPT, HCPCS, modifiers and thorough knowledge of American College of Emergency Physician (ACEP) Facility guidelines or similar
5+ years Outpatient Professional Coding Experience, including ICD-10-CM, CPT, professional Evaluation and Management, and modifiers
Preferred
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Professional Medical Auditor (CPMA)
5+ years of Outpatient Facility and/or Professional Services audit experience, including outpatient surgery
Extensive experience with various documentation and Electronic Medical Records
Extensive experience in all Outpatient chart types including outpatient surgery, observation, emergency department, and ancillary services
Expert knowledge of NCCI/OCE billing edits as it relates to outpatient facility and/or professional services coding and billing
Industry knowledge of Medicare regulations and payment policies, including OPPS
Proficient in computer applications such as Microsoft Excel, Teams, PowerPoint, Word, and Outlook
Demonstrated professional communication skills, oral and written
Proven ability to manage time efficiently and follow through on duties to completion
Proven ability to prioritize multiple assignments and multiple spreadsheets, documents, and reports
Company
Advize
After nearly two decades of auditing large data sets and performing extrapolation for increased ROI for payers, Advize has shifted focus to building relationships with providers based on data and best practices.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Jeanmarie Loria, MBA, PMP, CPC
CEO
Erik Consorsha
Chief Information Officer
Recent News
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