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Remote Professional Fee Auditor - Cardio, Neuro, Multi-Specialty, Surg, E&M Job in Newport Beach, California

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Job Title: Remote Professional Fee Auditor - Cardio, Neuro, Multi-Specialty, Surg, E&M

Employer:Healthcare Cost Solutions
Skills:ProFee Auditor
Specialties:Perform coding quality audits of professional fee services, specifically Cardio, Neuro, Multi-Specialty, Surg, E&M
Required Certifications:Minimum 3 + Years of an active CCS,CCS-P or CPC Certification Required
Required Experience:3 to 4 years
Location:1200 Newport Center Drive, Ste#190 Newport Beach 92660, CA, US
Date Posted:1/7/2021

Job Description

Remote Professional Fee Auditor –Cardio, Neuro, Multi-Specialty, Surgical, E&M

Job Responsibilities:

  • Perform coding quality audits of professional fee services, specifically Cardio, Neuro, Surgical and E&M areas to assure appropriateness and accurate code assignments, modifers and E&M levels in accordance with Center of Medicare and Medicaid guidelines.
  • Evaluates the quality of clinical documentation to identify incomplete or inconsistent documentation that could impact the quality of data being reported.
  • Audits codes and professional fee services performed by providers from medical records according to ICD-10, CPT, HCPCS, and CMS guidelines.
  • Develops and coordinates education and training regarding the elements of coding such as appropriate documentation, accurate coding, coding trends found during chart reviews.
  • Meets with the providers or coders to review the audit findings and to recommend ways to improve when indicated.
  • Prepares written reports of the audit findings by provider/practice.
  • Responsible for maintaining up to date knowledge of coding guidelines as they relate to professional services.

Job Qualifications:

  • 3+ Years of Professional Coding Experience in Multi-Specialty, Surgical, plus E&M, with an emphasis in Cardiology, Neurology, and Spine.
  • Minimum 3 + Years of an active CCS, CCS-P, or CPC Certification Required.
  • Working knowledge of CMS coding and documentation rules and regulations
  • Able to identify and apply rules and regulations as they relate to professional service audits
  • Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing
  • Ability to analyze and identify opportunities in documentation improvement
  • Excellent verbal and written communications skills required
  • Maintain confidentiality of client and departmental information
  • Knowledge of medical terminology
  • Knowledge of CPT-4, ICD-10 and HCPCS coding
  • Organized and detail-oriented, with proven ability to multi-task
  • Position is Per Diem or Part-Time, Flexible Weekdays and Some Weekends


Janine, jparker@hcsstat.com or Candy, cmeadows@hcsstat.com

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