Outpatient Fee Review Auditor

2 weeks ago

Alpharetta, United States CIOX Health Full time

Healthcare Coding Audit Specialist

Job Overview

CIOX Health is dedicated to safeguarding, connecting, and delivering essential health data to facilitate informed decisions and enhance human health. As a leader in data logistics for the healthcare sector, our innovative solutions empower organizations to securely transfer and connect data. Our extensive network includes thousands of organizations, over 70,000 healthcare facilities, and a robust ecosystem of real-world data partners.

Joining CIOX Health means becoming part of a collaborative, remote-first team committed to driving transformative change in healthcare. We seek individuals who are intelligent, kind, and results-oriented. Our investment in our team members reflects our belief in hiring high-potential, humble individuals capable of rapidly expanding their roles as our company grows. Our remote-first approach allows team members to tailor their work environment to their preferences.


Key Responsibilities

What You Will Do:
  • Conduct comprehensive reviews of professional fee encounters for inpatient, outpatient, and clinic-based medical records, utilizing ICD-10-CM, CPT, HCPCS, and modifiers to ensure accurate coding assignments.
  • Analyze all HCPCS and CPT codes affecting RVU assignments.
  • Provide educational support to coders through the auditing process.
  • Prepare preliminary findings for review by relevant stakeholders.
  • Address coding recommendation disputes with the appropriate management personnel.
  • Compile final reports for coding audits and assist in resolving audit findings.
  • Deliver coder education via email and/or conference calls, utilizing audit findings and comments.
  • Participate in coding workshops as required.
  • Stay updated on regulatory changes impacting coding practices.
  • Manage multiple cases concurrently to ensure efficient departmental workflow and resolution.
  • Exhibit versatility and excellence across a diverse range of coding services.
  • Engage with client facility representatives to discuss audit trends and issues.
  • Develop and implement educational programs for clinical staff to enhance documentation practices.
  • Demonstrate initiative and sound judgment in executing job responsibilities.
  • Communicate effectively with colleagues, management, and healthcare staff regarding clinical and reimbursement matters.
  • Maintain professionalism, efficiency, and a positive demeanor in all interactions.
  • Adhere to the American Academy of Professional Coders (AAPC) code of ethics.
  • Exhibit a strong customer-service orientation, professionalism, flexibility, and a commitment to excellence.
  • Audit external coding staff as necessary and provide reports to management as directed.
  • Engage in high-complexity decision-making and work functions.
  • Demonstrate strong organizational, teamwork, and leadership capabilities.

Qualifications

What You Bring:
  • A minimum of 3 years of experience in coding or auditing.
  • CPC and/or CPMA certification is required.
  • Recent experience in academic or level 1 trauma centers.
  • Proficiency in coding or auditing professional fee encounters across various healthcare facilities.
  • Proven track record of meeting productivity standards.
  • Maintain a 95% accuracy rate in code assignments and a 95% productivity rate.
  • Familiarity with various software tools, including EMR, Encoder, and auditing software.

Benefits:

  • 401k Savings Plan.
  • Company-provided equipment, including computer and peripherals.

To ensure the safety of patients and staff, many of our clients require health screenings and proof of vaccinations. Exemptions may be available based on specific criteria.

This position requires a reliable high-speed internet connection and a distraction-free work environment. Assessments may be part of the hiring process.

Compensation: Pay ranges for this role may vary based on location, responsibilities, skills, experience, and other role requirements. The estimated pay range for this position is $35 - $40 per hour.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

  • Professional Fee Audit Specialist

    11 hours ago

    Alpharetta, United States CIOX Health Full time

    About the RoleCIOX Health is seeking a highly skilled Coding Quality Assurance Specialist to join our team. As a Coding Quality Assurance Specialist, you will play a critical role in ensuring the accuracy and quality of medical coding practices across our organization.Key ResponsibilitiesPerform professional fee encounter reviews of inpatient, outpatient,...

  • Night Auditor

    1 day ago

    Alpharetta, United States Home2 Suites Alpharetta Full time

    Job SummaryWe are seeking a highly skilled Night Auditor to join our team at Home2 Suites Alpharetta. As a Night Auditor, you will be responsible for ensuring the maintenance of financial controls and compliance with hotel standards.Key ResponsibilitiesFinancial Operations: Prepare daily Restaurant Revenue Report data by auditing Point of Service...

  • Night Auditor

    18 hours ago

    Alpharetta, GA, USA, United States Home2 Suites Alpharetta Full time

    About the RoleWe are seeking a highly skilled Night Auditor to join our team at Home2 Suites Alpharetta. As a Night Auditor, you will play a critical role in ensuring the maintenance of financial controls and compliance with hotel standards.Key ResponsibilitiesPrepare daily Restaurant Revenue Report data by auditing Point of Service tapes/journals to...

  • Night Auditor

    7 hours ago

    Alpharetta, GA, USA, United States HEI Hotels & Resorts Full time

    {"title": "Night Auditor", "subtitle": "Join Our Team", "content": "At HEI Hotels & Resorts, we are seeking a highly skilled Night Auditor to join our team. As a Night Auditor, you will be responsible for ensuring the maintenance of financial controls and compliance with hotel standards. You will coordinate with other departments to provide quality service...

  • Outpatient Surgery Center Nurse Manager

    2 weeks ago

    Alpharetta, United States Jobot Full time

    Position Overview:We are seeking an experienced Ambulatory Surgery Nurse Manager to lead our esteemed outpatient urology group. This role is pivotal in ensuring the smooth operation of our surgical services.About Us:As a leading outpatient surgery center, we pride ourselves on our commitment to excellence, compassion, and community service. Our collaborative...

  • Night Auditor

    4 hours ago

    Alpharetta, GA, USA, United States HEI Hotels and Resorts Full time

    About UsThe Home2 Suites by Hilton Alpharetta is a reputable Hilton property located near Avalon and downtown Alpharetta. We offer our associates a competitive salary with optional benefits for full-time employees. Our associates also enjoy fantastic Hilton Team Member discounts. Come take your career to the next level at Home2 Suites Alpharetta today.Job...

  • Regional Controller

    2 months ago

    Alpharetta, United States Hospitality Ventures Management Group Full time

    Why You Want to Work for UsOur Regional Controller team is growing! This role makes an impact on the over-all success of the company. Do you want to achieve your professional goals and have fun while doing it? Excellent opportunities for growth and development for an outstanding candidate!What You Will Be Doing..The Regional Controller is responsible for the...

  • Healthcare Coding Audit Specialist

    2 weeks ago

    Alpharetta, United States CIOX Health Full time

    Professional Fee Audit SpecialistJob LocationsUS-RemoteRequisition ID # of Openings1CategoryHIM / CodingPosition TypePRNEqual Pay Act Minimum Range$40.00 per hourOverviewCIOX Health is dedicated to safeguarding, connecting, and delivering critical health data to enhance decision-making and promote better health outcomes. As a leader in data logistics for the...

  • Night Auditor

    3 weeks ago

    Alpharetta, United States Home2 Suites Alpharetta Full time

    About Us: The Home2 Suites by Hilton Alpharetta is a beautiful Hilton property located just 2 minutes from Avalon and a short distance from downtown. We offer our associates a competitive salary with optional benefits for full-time employees. Dont forget about the fantastic Hilton Team Member discounts that are available to everyone on board. Come take your...

  • Cost Accounting Manager

    3 months ago

    Alpharetta, United States NorthPoint Search Group Inc Full time

    Cost Accounting Manager - ManufacturingDuties include:Execute month-end close process for ERP inventory module and prepare month-end inventory entriesReview, report and provide commentary/analysis of costs against prior periods, plan, and latest forecast.Assist in the completion of annual budgets and forecasts.Document controls, processes and procedures...

  • Financial Operations Manager

    2 weeks ago

    Alpharetta, United States Vaco Full time

    Join Vaco as an Accounting Manager and become a vital part of our client's financial operations. This position is essential for overseeing financial reporting and analysis, ensuring the accuracy and timeliness of financial data.Key Responsibilities:Oversee financial data management, reporting, and the monthly closing process to guarantee precise financial...

  • Accountant

    2 weeks ago

    Alpharetta, United States RefrigiWear, Inc. Full time $75,000 - $85,000

    Job DescriptionJob DescriptionRefrigiWear is looking for an Accountant to join our Finance team. The Accounting Manager will support the Controller with general accounting tasks, month-end close, financial reporting, general audit support, technical accounting, oversee accounting staff, and the accounts payable department.The Accountant will support the...

  • Controller

    4 weeks ago

    Alpharetta, United States Rockstar Full time

    Job DescriptionJob DescriptionRockstar is recruiting for a boutique wealth management group based in Alpharetta. The firm has been helping clients for almost two decades using their proprietary planning process. The founders of the firm have been covered extensively in both local & national media & they are now looking to grow their Alpharetta-based team....

  • Controller

    2 months ago

    Alpharetta, United States Rockstar Full time

    Job DescriptionJob DescriptionRockstar is recruiting for a boutique wealth management group based in Alpharetta. The firm has been helping clients for almost two decades using their proprietary planning process. The founders of the firm have been covered extensively in both local & national media & they are now looking to grow their Alpharetta-based team....

  • Controller

    2 months ago

    Alpharetta, United States Rockstar Full time

    Job DescriptionJob DescriptionRockstar is recruiting for a boutique wealth management group based in Alpharetta. The firm has been helping clients for almost two decades using their proprietary planning process. The founders of the firm have been covered extensively in both local & national media & they are now looking to grow their Alpharetta-based team....

  • Tax Manager, CPA

    2 weeks ago

    Alpharetta, United States NorthPoint Search Group Inc Full time

    Tax Manager, CPA We are seeking a highly skilled and experienced Permanent Tax Manager to join our dynamic team. As a Tax Manager, you will oversee tax compliance and planning functions for our organization. Collaborating closely with our accounting and finance teams, you will ensure the efficient and effective handling of all tax-related matters. This...

  • Senior Accounting Professional

    1 week ago

    Alpharetta, Georgia, United States Searchlogic Recruiting, LLC Full time

    Job OpportunityCompany Overview: Searchlogic Recruiting, LLC is a dynamic and entrepreneurial partner group with a proven track record of growing companies in the construction services industry.Position Summary: We are seeking a detail-oriented and experienced accounting professional to manage the financial transactions of our multi-company operation.Key...

  • Accounting Manager

    6 days ago

    Alpharetta, United States Jobot Full time

    Job SummaryWe are seeking an experienced Accounting Manager to join our team at Jobot. As a key member of our finance department, you will be responsible for overseeing and managing our general accounting functions, including payroll, fixed assets, debt, accruals, and leases.Key ResponsibilitiesOversee and manage the general accounting functions, including...

  • Sr. Accountant

    2 months ago

    Alpharetta, United States Hospitality Ventures Management Group Full time

    Who this job will appeal toThe Senior accountant is responsible for supporting the Regional Controllers in the preparation, review, and distribution of all financial reports in accordance with Generally Accepted Accounting Principles, Hospitality Ventures Accounting standard operating procedures, and Hospitality Ventures standard accounting procedures.What...

  • Tax Manager

    2 weeks ago

    Alpharetta, United States TrovaSearch Full time

    The Tax Manager is responsible for managing all tax-related activities within the organization. This includes overseeing tax compliance, tax planning, and tax reporting. The Tax Manager will also be involved in providing guidance on tax implications for various business decisions. Tax manager will manage an external tax vendor, and will be responsible for...