Auditing & Education Consultant - Profee

📋 Description

• • CorroHealth, Inc. is dedicated to empowering clients to achieve their financial health objectives. We offer scalable solutions and clinical expertise that address programmatic needs throughout the entire reimbursement cycle. By equipping our teams with cutting-edge technology, we leverage advanced analytics to inform our strategies and ensure accountability in reaching our goals.
• • We are committed to fostering long-term careers by investing in our employees' professional development and personal growth, recognizing that your success is intrinsically linked to our own.
• • This role serves as a crucial consulting position, involving the meticulous evaluation of client coders' work. The primary focus is on the accurate assignment of ICD-10, CPT, and/or HCPCS codes for hospital inpatient, outpatient, and physician practice encounters.
• • You will conduct both concurrent and retrospective reviews to meticulously inventory code assignments, compiling and reporting this data to our clients.
• • A significant aspect of this role involves developing and delivering impactful educational content to clients, directly addressing audit findings and promoting best practices.
• • Perform complex, concurrent, and/or retrospective analysis of medical record documentation to validate coded data against recognized standards from AHA, CMS, AMA, AHIMA, AAPC, Coding Clinic, and CPT Assistant.
• • Analyze audit findings to identify potential root causes of errors, contributing to process improvement initiatives.
• • Prepare comprehensive summary reports for clients, providing specific references and evidence to support all findings within the audit report.
• • Conduct second-level reviews of processes to ensure strict adherence to legal and procedural policies, as well as to guarantee appropriate code assignments.
• • Research, analyze, and provide expert responses to inquiries related to compliance, coding, and claim denials.
• • Uphold the highest standards of patient privacy and confidentiality, safeguarding all patient health and client information.
• • Adhere strictly to the Standards of Ethical Coding as established by AHIMA and comply with all official coding guidelines, compliance practices, standards, and procedures.
• • Function as an integral member of the Consulting Services Team, actively contributing to the development and delivery of coding education programs for our clients.
• • Conduct assigned audits efficiently, meeting or exceeding established productivity standards for each record type.
• • Maintain a billable productive hour threshold at or above 80% when client work is available, demonstrating a strong commitment to client service.
• • Prepare and deliver client deliverables according to the defined audit scope and strict timelines, ensuring accuracy and completeness.
• • Conduct independent Quality Assurance (QA) reviews of your assigned audit results before final submission for formal QA review and approval.
• • Achieve and maintain a minimum accuracy expectation of 95% in all audit work.
• • Report work time and work products accurately and in a timely manner, ensuring seamless project management.
• • Communicate openly and respectfully with colleagues, fostering a collaborative environment that encourages teamwork and knowledge sharing.
• • Interact with clients in a highly professional manner, consistently exhibiting excellent work performance and communication skills to support the company's business interests and reputation.
• • Provide timely updates on planned work activities, events, and site visits to Management and appropriate staff, ensuring transparency and efficient coordination.
• • Actively maintain professional credentials and stay current with evolving coding, reimbursement, and compliance issues through continuous education.
• • Participate in periodic travel as required by client needs and project scope.
• • Undertake other duties and responsibilities as assigned by leadership, demonstrating flexibility and a willingness to contribute across various initiatives.