Sr Auditing Consultant

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Sr. Auditing Consultant accurately examines and evaluates the medical record and health information for accuracy in coding for hospital inpatient, hospital outpatient, behavioral health, and/or physician coding. Responsibilities: Performs inpatient, behavioral health, ambulatory surgery, emergency room, other hospital outpatient visits, and/or evaluation/management coding audits for technical and/or professional reporting Has a working knowledge of reimbursement systems (MS-DRG, APR-DRG, IPPPS, APC, RBRVS) Performs educational services to clients based on audit results Has the ability to analyze audit results identifying patterns, trends, and key problematic areas with the ability to communicate specific opportunities for coder improvement initiatives Utilizes a laptop computer in a virtual office, windows-based environment Utilizes various coding books, procedure manuals and on-line encoders as a resource Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession May be asked to mentor other new consultants and perform peer reviews Maintains strict patient and physician confidentiality and follows all federal, state and hospital guidelines for release of information Maintains current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols Participates in staff meetings, trainings and conference calls as requested Client Specific Responsibilities: Perform coding QA reviews based on Client’s internal monitoring process, criteria, and requirements including quality outcomes data entry and reporting as follows: Include appropriate assignment of the CPT procedure charges based on supporting medical record documentation and established coding guidelines; Review for accurate assignment of any and all applicable modifiers based on official reporting guidelines; Review for accurate and appropriate application of Correct Coding Initiative Edits(“NCCI”) against reported CPT codes included in this scope; Identify areas of educational opportunities for coders and/or providers in relation to CPT code assignments, as applicable; Communicate recommendations for documentation and/or process improvement as they are identified; Define areas and topics in which additional education would be beneficial for increased accuracy and compliance; and Complete the charge review and return the case electronically within a timely manner unless additional information is needed from the Client. Requirements RHIA, RHIT, CCS, CCS/P or CPC Certified Interventional Radiology Cardiovascular Coder (CIRCC) 3 years experience including inpatient and/or outpatient and/or professional fee coding skills as well as ambulatory surgery, APC, emergency room, evaluation and management, auditing, report-writing expertise, required Preferred coding skills: prospective payment methodologies, physician office billing Must successfully pass a coding skills assessment Knowledge of medical terminology, ICD-10 and/or CPT-4 codes Must be detail oriented and have the ability to work independently Computer knowledge of MS Office Must display excellent interpersonal skills Must have strong communication and writing skills Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $45,000.00 to $60,000.. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills. SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class. California Job Candidate Notice The Savista experience is the combination of everything that’s unique about our culture, our core values, our commitment to success, but most importantly, it’s our people. Our colleagues are problem-solvers, flexible and agile trusted partners who believe in a culture based on service. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us a Certified Great Place to Work 4 years in a row! California Job Candidate Notice

Salary : $45,000 - $0