ProFee Audit Specialist- PRN
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Responsibilities
- Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment.
- Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc
- Keeps abreast of regulatory changes
- Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution
- Provides coder education via the auditing process
- Function in a professional, efficient and positive manner
- Adhere to the American Health Information Management Association (AHIMA)'s code of ethics
- Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
- High complexity of work function and decision making
- Strong organizational, teamwork, and leadership skills
- What You Need to Succeed:
- 5+ years of Professional Fee coding and/or auditing
- CPC (required)
- CPMA (preferred)
- Maintain 95% accuracy rate
- Experience with various software including Epic, Cerner, and other prevalent EMRs
Benefits
Additional Information
Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.
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