Senior Auditing Professional Fee Consultant

Savista partners with healthcare organizations to deliver revenue cycle improvement services focusing on quality clinical care, positive patient experiences, and optimal financial results.

The Senior Auditing Consultant role involves accurately examining and evaluating medical records and health information for coding accuracy in hospital inpatient, outpatient, behavioral health, and physician coding contexts.

Responsibilities include:

• Performing audits for inpatient, behavioral health, ambulatory surgery, emergency room, hospital professional fee visits, and evaluation/management coding for professional and/or facility reporting.
• Utilizing knowledge of reimbursement systems like IPPPS, APC, and RBRVS.
• Providing educational services to clients, coders, and providers based on audit findings.
• Analyzing audit results to identify patterns and communicating opportunities for coder improvement.
• Using coding books, procedure manuals, and online encoders in a virtual office environment.
• Maintaining patient and physician confidentiality following applicable guidelines.
• Keeping up-to-date with CPT and ICD-10 coding principles, government regulations, and protocols.

Qualifications:

• RHIA, RHIT, CCS, CCS/P, or CPC certification.
• Minimum 3 years of professional fee auditing experience including multiple specialties.
• Preferably skilled in prospective payment methodologies and physician office billing.
• Knowledge of medical terminology and ICD-10/CPT-4 codes.
• Detail-oriented with ability to work independently.
• Proficient in MS Office.
• Excellent interpersonal, communication, and writing skills.

The position offers an annual salary range between $70,000 and $80,000, varying by factors such as location, experience, certifications, and skills. The role supports remote work through a virtual office setup.

Savista is an Equal Opportunity Employer.