Auditing & Education Specialist – IP/OP Facility

• Evaluate client coders’ assignment of ICD-10, CPT, and/or HCPCS codes for inpatient, outpatient, and physician practice encounters
• Perform complex concurrent and retrospective analysis of inpatient medical record documentation to validate coded data
• Analyze findings and identify potential root causes of errors
• Prepare summary reports and audit deliverables for clients with supporting references
• Provide second-level review to ensure compliance and appropriate code assignments
• Research, analyze, and respond to compliance, coding, and denials inquiries
• Protect patient and client information confidentiality and follow AHIMA ethical coding standards and official coding guidelines
• Develop and provide coding education to clients as part of the Consulting Services Team
• Conduct assigned audits while meeting productivity standards, including at least 80% billable productive hours when client work is available
• Conduct independent quality assurance of audit results before final submission; maintain at least 95% accuracy
• Report work time and work products accurately and promptly
• Communicate professionally with coworkers and clients
• Provide management with schedules of planned work activities, events, sites, and changes
• Perform other assigned duties

Requirements

• Extensive IP facility and/or OPP facility coding and auditing experience
• AHIMA or AAPC certification required; CCS, RHIT, or RHIA strongly preferred; CIC or COC considered
• Experience with telecommuting and electronic medical record systems required
• Recognized credential from AHIMA or AAPC
• Strong analytical skills
• Proficient computer skills, specifically Microsoft Office products
• Ability to work with multiple and diverse clients and projects
• Ability to work with minimal supervision
• Ability to maintain and access multiple files
• High levels of accuracy and attention to detail
• 5+ years’ experience coding and/or auditing in an acute care facility or clinic, involving the patient types listed in the job summary or other relevant experience
• Ability to work at a computer terminal for 6–8 hours per day
• Ability to lift and move material weighing up to 20 lbs. infrequently
• Maintenance of professional credentials and knowledge through continuing education

Core Competencies

Demonstrates expertise in ICD-10, CPT, and HCPCS coding with a strong focus on compliance and accuracy in coding audits. Proficient in conducting detailed analyses and providing coding education while maintaining high standards of confidentiality and ethical coding practices.

Highest-signal resume keywords

• ICD-10 Coding
• CPT Coding
• HCPCS Coding
• AHIMA Certification
• Coding Auditing Experience

Hard Skills

• Coding Analysis
• Quality Assurance
• Medical Record Documentation
• Error Root Cause Analysis
• Report Preparation
• Compliance Research
• Coding Education Development
• Productivity Standards Management
• Attention to Detail
• Telecommuting Experience

Soft Skills

• Analytical Skills
• Professional Communication
• Minimal Supervision Ability
• Client Relationship Management
• Time Management

Certifications & Qualifications

• AHIMA Certification
• AAPC Certification
• CCS
• RHIT
• RHIA
• CIC
• COC

Industry Keywords

• Inpatient Coding
• Outpatient Coding
• Physician Practice Coding
• Audit Deliverables
• Confidentiality Standards
• Continuing Education

Tools & Technologies

• Electronic Medical Record Systems
• Microsoft Office