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Coding Audit Consultant

4 months ago

Chicago, Illinois, United States Crowe Full time

Your Journey at Crowe Starts Here:

At Crowe, you have the opportunity to deliver innovative solutions to today's complex business issues. Crowe's accounting, consulting, and technology personnel are widely recognized for their in-depth expertise and understanding of sophisticated process frameworks and enabling technologies, along with their commitment to delivering measurable results that help clients build business value. Our focus on emerging technology solutions along with our commitment to internal career growth and exceptional client value has resulted in a firm that is routinely recognized as a "Best Place to Work." We are 75 years strong and still growing. Come grow with us

Job Description:

Crowe Healthcare Consulting is now Kodiak Solutions


This role is with Kodiak Solutions, Crowe's Healthcare Consulting business that is now its own standalone company. Read more about the Healthcare practice's impressive story and Kodiak below At Kodiak you have the opportunity to deliver innovative solutions to today's complex business issues facing the Healthcare industry. Kodiak personnel are widely recognized for their in-depth Healthcare expertise and application of data and technology to simplify the business of Healthcare for thousands of hospitals nationwide.

Your Journey at Kodiak Solutions Starts Here:

At Kodiak Solutions, you have the opportunity to deliver innovative solutions to today's complex business issues. Kodiak's accounting, consulting, and technology personnel are widely recognized for their in-depth expertise and understanding of sophisticated process frameworks and enabling technologies, along with their commitment to delivering measurable results that help customers build business value. We are focused on emerging technology solutions along with a commitment to internal career growth and exceptional customer value. Come grow with us

Role Description:

The Coding Audit Consultant conducts independent and integrated internal audits and consulting engagements utilizing their coding knowledge, audit documentation skills and Kodiak's proprietary audit documentation software. This role will also assist other Kodiak audit team members by providing a coding perspective, and/or performing coding specific testing steps in their assigned projects. In addition, the Coding Audit Consultant will serve as the primary coding liaison to several customers, to include providing coding project status updates, performing follow up on completion of action plans from prior coding audits, and participate in risk assessment meetings to provide coding insight for up coming audit plans.

Specific Roles and Responsibilities:

  • Understand customer needs and provide creative, strategic recommendations
  • Perform risk assessments, planning, fieldwork and report writing
  • Work on special projects and management requests
  • Utilize a data first and data-driven approach to all projects
  • Participate in business development growth in various ways from supporting a pursuit to identifying an opportunity to serving as a Crowe Account Lead
  • Respond timely to all inquiries by Customers and other Team members
  • Perform technical reviews for other coding professionals
  • Participate in the Subject Matter Expert (SME) Program in writing thought leadership and speaking on coding topics as needed
  • Assist in creating and updating tools, guidelines, resources and solutions to support the growth of the clinical operations team

Required Qualifications:

  • One of the following coding certifications through AHIMA / AAPC is required: CPC, COC, CCA, CCS, CRC, RHIA, or RHIT.
  • Minimum of three years hospital coding audit experience
  • Working experience in reviewing records within Electronic Medical Record (EMR) systems
  • Strong knowledge of chart auditing
  • This position requires minimum of 10% travel

Preferred Knowledge and Skills

  • Additional knowledge and experience in revenue cycle activities is a plus
  • Advanced knowledge of ICD-10-CM, CPT and HCPCS
  • Effective communication, relationship-building and interpersonal skills.
  • Exceptional attention to detail, ability to ask questions and advanced knowledge in Microsoft Office suite
  • The ability to interact in a remote team environment and foster customer relationships.
  • Excellent time management, verbal, and written communication skills.

About Kodiak Solutions

This is an exciting time to join our growing Kodiak Solutions team Recently, Crowe LLP reached a decision to divest its Crowe Healthcare Consulting practice, now Kodiak, in a sale to TPG, a global asset management firm that will be the perfect partner to take Kodiak to the next level. The story around Kodiak is an impressive one. Derek Bang, the practice founder and inventor of the group's flagship software product for net revenue reporting, Revenue Cycle Analytics (RCA) came to Crowe nearly 20 years ago with an idea for a strategic pursuit in the Healthcare Industry through his previous experience as a Healthcare Auditor at a Big 4 firm. Crowe invested in the idea, providing the resources and support necessary to launch the RCA product and organically grow the practice to its current state, now offering a broad suite of software and services that help healthcare CFOs solve challenges across financial reporting, revenue cycle, and risk and compliance. Kodiak currently services more than 1,800 hospitals and 200,000 practice-based physicians across all 50 states. Due to the unique complexities of the business such as technology and data security, it is time for a new partner with the appropriate expertise and resources to invest in the future growth of Kodiak. The transaction will enable Kodiak to operate with greater flexibility and focus, positioning it to accelerate growth and expand its technology portfolio to better serve healthcare provider organizations across the county.

#LI-Hybrid


Our Benefits:

At Crowe, we know that great peopleare what makes a great firm. We value our people and offer employees a comprehensive benefits package. Learn more about what working at Crowe can mean for you

How You Can Grow:

We will nurture your talent in an inclusive culture that values diversity. You will have the chance to meet on a consistent basis with your Career Coach that will guide you in your career goals and aspirations. Learn more about where talent can prosper

More about Crowe:

Crowe ) is one of the largest public accounting, consulting and technology firms in the United States. Crowe uses its deep industry expertise to provide audit services to public and private entities while also helping clients reach their goals with tax, advisory, risk and performance services. Crowe is recognized by many organizations as one of the country's best places to work. Crowe serves clients worldwide as an independent member of Crowe Global, one of the largest global accounting networks in the world. The network consists of more than 200 independent accounting and advisory services firms in more than 130 countries around the world.

Crowe LLP provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Crowe LLP does not accept unsolicited candidates, referrals or resumes from any staffing agency, recruiting service, sourcing entity or any other third-party paid service at any time. Any referrals, resumes or candidates submitted to Crowe, or any employee or owner of Crowe without a pre-existing agreement signed by both parties covering the submission will be considered the property of Crowe, and free of charge.

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