Salary Range: $63k-$70k annually

SCOPE/GENERAL PURPOSE OF JOB:

Responsible for providing auditing and review services to clients (i.e., physicians, physician groups, billing companies, hospitals, health systems, health care attorneys, and other health care entities) including coding/documentation audits, billing audits, compliance audits, general and targeted educational sessions, expert advice on coding, documentation, and billing topics, operational assessments and other engagements as assigned.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Provides auditing and review services with clients in accordance with their contractual agreement.

• Consistently follows the auditing Workflow for all projects (audits and education)

• Performs comprehensive documentation, coding, billing and/or compliance audits in accordance with client contract.

• Create accurate well written reports summarizing audit findings and recommendations which include clear explanation of errors and references for authoritative guidance supporting recommendations when applicable.

• Contacting client for scheduling of all necessary meetings (kickoff, updates, summation, and education)

• Conduct the project kickoff call, complete the project plan document, and any required EMR access forms.

• Present audit findings and recommendations by phone

• Customize training material for client specific needs using all Microsoft applications and any other necessary tools.

• Deliver remote educational sessions

• Conducts and participates in webinar trainings, conference calls, creation of documents and materials for clients

• Other consulting projects as assigned (ex. CDM reviews, workflow assessments, denials management evaluations, etc.)

• Maintains an accurate record of time spent on all assignments using Clockify task tracking tool and follow department guidelines for appropriate use. (client and non-client work)

• Assist in creating and updating coding reference manuals and presentations as needed

• Ability to meet monthly financial targets defined for the position

• Communicates with Management regarding client concerns, issues or assistance as needed.

• Monitors government regulations & programs and presents information to the company and clients

• Prepares industry related articles for publication when requested

• Strives to achieve maximum exposure and strong public image of Revenue Cycle Coding Strategies to all industry stakeholders

• Works on ensuring a strong, positive relationship between all company divisions

• Ensures compliance with company Policies and Procedures, State, and Federal Regulations

• Maintains confidentially of all information related to patients, medical staff, finances and all other company and client information.

• Submits accurate invoices and expense reports timely to the appropriate department following company policies.

• Adheres to all RCCS policies and procedures.

• Additional duties as assigned.

• Bachelor’s degree preferred but not required.

• Coding certification(s) required by one or more of the following bodies: AHIMA, RCCB, AAPC.

• Willingness to obtain additional industry specific certifications within one year of employment.

• Minimum three (3) years of experience as a consultant, auditor/educator, or compliance professional in healthcare.

• Must be competent and comfortable with MS Word, Excel, and PowerPoint. Experience working in MS Access is preferred.

EDUCATION AND/OR EXPERIENCE:

• Bachelor’s degree preferred but not required.
• Coding certification(s) required by one or more of the following bodies: AHIMA, RCCB, AAPC.
• Willingness to obtain additional industry specific certifications within one year of employment.
• Minimum three (3) years of experience as a consultant, auditor/educator, or compliance professional in healthcare.

QUALIFICATIONS:

• Knowledge of coding, documentation, and reimbursement

• Knowledge of organization policies and procedures

• Knowledge of health care administration principles

• Knowledge of business office procedures as they relate to the healthcare industry

• Skill in exercising initiative, judgment, discretion, and decision-making to achieve objectives.

• Skill in identifying and resolving problems

• Ability to communicate effectively and professionally with all levels of staffing in health care provider organizations and business-related organizations.

• Ability to establish and maintain effective professional working relationships with all employees and clients

• Knowledge of CPT-4, diagnosis and HCPCS coding.

• Highly detail-oriented individual with outstanding analytical and writing skills, and ability to communicate professionally with clients and employees of RCCS.