Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote Pro Fee Auditor/Educator to join our team.
Type of Opportunity: Full time
Job Exempt: Yes
Job is based: Remote Workers New Mexico
Work Shift: Days (United States of America)
Responsibilities
Presbyterian is seeking a talented Pro Fee Auditor/Educator
Some key responsibilities include:
Assists in the creation of the CDQA Annual Audit Work-plan by utilizing the OIG work plan, Medicare and Medicaid regulations, RAC and other audit agency focuses, as well as internal and external risk assessments
Regularly exercises independent judgment in determining the reliability of data reviewed; recommends changes in existing practices to gain or maintain compliant behavior. Keeps actively informed on the business climate of the healthcare industry
Responds to inquiries and requests daily regarding coding and auditing issues and problems and ad-hoc analysis for all PHS management
Requirements
High school diploma/GED required. Must possess at least one of the following license/certifications: RHIT, RHIA, CPC, CCS and a minimum of three (3) years experience in coding and/or auditing required.
Audit experience preferred. Excellent written and verbal communication skills.
Excellent written and verbal communication skills.
Detail and results oriented. Ability to work independently and make independent decisions. Medical terminology, ICD-9, CPT-4 and HCPCS knowledge required.
Must have a proficient knowledge of Medicare, Medicaid, and other third party payer documentation, coding, and billing regulations for service lines(s) assigned.
Must possess excellent organizational and planning skills, including the ability to prioritize multiple tasks and perform them both accurately and simultaneously.
Must possess computer skills, especially with Microsoft Word, PowerPoint, and Excel applications. Must be able to use the internet and other resource applications for research purposes and to provide documentation that supports regulations quoted in audits.
Must possess strong written and verbal communication skills in order to communicate in clear, concise terms to management at all levels, including the ability to articulate complex regulatory information in laymans terms.
Must possess a personal presence of a highly qualified professional that is characterized by a sense of hon
Benefits
Health insuranceVision insuranceRemote work options
Additional Information
Location Address:
Remote Office
Santa Fe, NM 87501
Compensation Pay Range:
Minimum Offer $54,516.80
Maximum Offer $83,262.40
Now Hiring: Remote Pro Fee Auditor/Educator
Phsorg · Remote