Sr Auditing Consultant at Savista

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).

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 (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

Minimum Qualifications

• RHIA, RHIT, CCS, CCS/P or CPC
• 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

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.

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