Professional Fee Audit Specialist

Responsibilities

• Perform professional fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers.
• Provide clear rationale for any coding changes, including documentation references and locations.
• Stay current on regulatory changes.
• Organize and prioritize multiple cases concurrently to support workflow and case resolution.
• Provide coder education through the auditing process.
• Maintain professionalism, efficiency, and a positive work style.
• Follow AHIMA code of ethics.
• Demonstrate customer service focus, flexibility, dependability, desire to learn, and commitment to excellence.
• Handle high-complexity work and decision making.
• Use strong organizational, teamwork, and leadership skills.

Qualifications

• 5+ years of professional fee coding and/or auditing experience.
• CPC required.
• CPMA preferred.
• Maintain a 95% accuracy rate.
• Experience with Epic, Cerner, and other common EMRs.
• Preferred experience with multi-specialty coding.
• Preferred availability during normal business hours and approximately 20 hours per week.

Benefits and Perks

• 2,500 sign-on bonus
• Fully remote work
• Flexible schedule
• Medical, dental, and vision insurance for full-time employees
• 401(k) savings plan with match
• 2 weeks of paid time off
• Paid holidays and floating holidays
• Free CEUs every year
• Education and professional dues stipend, if applicable
• Equipment provided: monitor, laptop, mouse, headset, and keyboard
• Comprehensive training led by a credentialed professional coding manager
• Supportive management and mentorship