This is a remote contract position.
Job Duties:
The Multi-Specialty Auditor will report to the Manager of AAPC Services with a direct line of communication to Project Leads. Responsibilities will include but not be limited to:
- Audit medical records across multiple specialties to validate clinical documentation supporting evaluation and management services, ancillary services, procedures, diagnoses, and specialty-specific documentation requirements; identify gaps and missed opportunities while meeting quality and production standards. Auditor will review project guidelines to ensure deliverables are on-time and meet client-specific requirements.
- Research regulatory, payer, and specialty-specific guidelines for supporting documentation when necessary.
- Prepare audit summary findings, provide detailed specialty-specific comments related to audit findings, and make recommendations that support documentation improvement and coding accuracy.
- Consistently maintain production standards for job role, and quality metrics of 95% or greater.
- Responsible for maintaining department audit standards, advanced clinical documentation standards, protocols, and specialty-specific guidelines.
- Support team with department key performance indicators and goals (SLAs).
- Embrace workforce transformation by engaging in continuous knowledge expansion across additional functional areas and/or upskilling (learning new skills) to support evolving organizational and client needs.
- Contribute to organizational optimization by collaborating to identify opportunities for process improvement and supporting continuous enhancements to workflows and operations that promote quality and efficiency.
- Prepare oral and/or written reports of audit activity to Manager meeting with them on a regular basis to review individual performance, mentoring, and succession planning.
Expectations:
- Minimum 5 years of auditing experience
- Extensive auditing experience across multiple specialties, including the ability to interpret complex documentation and coding scenarios
- Extensive knowledge of AMA, OIG, CMS and other national coding and compliance guidelines
- Excellent written and verbal communication skills
- Ability to “own” an entire project
- Detail oriented and deadline driven attitude
- Ability to think critically and determine the best method for completing tasks
- Strong computer skills (Excel, Word, and internet)
- Ability to multitask and keep a sense of urgency
- Excellent customer service skills
- Strong time management, organization skills, and work ethic
- Requires long periods of time sitting and using keyboard and mouse.
- CPC®
- RHIT or CPMATM
- Specialty Credentials preferred
- Humble - Learns, adapts, and improves relentlessly. Seeks feedback without insecurity and implements coaching. Recognizes others' contributions gratefully. Approaches work and relationships with an abundance mentality. Places the needs of others above self.
- Supportive - Empowers and uplifts others. Listen actively and respond with empathy and understanding. Prioritizes well-being and growth of team members and customers ahead of own interest. Faces challenges together, believing in collective strength and unity.
- Driven - Self-starts and stays highly motivated to achieve ambitious goals. Shares contagious energy and enthusiasm liberally. Takes initiative without always being directed. Demonstrates confidence in decision-making and effectively balances autonomy and authority with accountability.
- Transparent - Aligned with a culture of openness, integrity, and trustworthiness. Follows through on commitments to internal and external parties. Maintains strict accountability and values the trust placed in them by others.
- Innovative - Entrepreneurial spirit with a scrappy mentality. Dreams big, sees opportunity, pursues full potential, and finds ways to accomplish the impossible. Rolls up sleeves and does real work. Works quickly, intelligently, and flexibly
What we Offer
- Compensation commensurate with experience
- Comprehensive benefits package including medical, dental and vision insurance
- Health Savings Account
- Generous PTO and Holiday Pay
- 401(k) retirement plan
- Remote work-from-home option consideration
AAPC Services is an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, handicap, religion, national origin or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.
Skills Required
- Minimum 5 years of auditing experience
- Extensive auditing experience across multiple medical specialties
- Ability to interpret complex clinical documentation and coding scenarios
- Extensive knowledge of AMA, OIG, CMS, and other national coding and compliance guidelines
- Excellent written and verbal communication skills
- Ability to own an entire project
- Strong computer skills, including Excel, Word, and internet use
- Strong time management, organizational skills, attention to detail, and work ethic
- CPC certification
- RHIT or CPMA certification
- Specialty credentials
What We Do
AAPC was founded in 1988 to provide education and professional certification to physician-based medical coders and to elevate the standards of medical coding by providing student training, certification, ongoing education, networking, and job opportunities. Since then, AAPC has expanded beyond coding to include training and credentials in documentation and coding audits, regulatory compliance, and physician practice management. AAPC's membership includes over 200,000 healthcare professionals worldwide, of which more than 100,000 are certified. AAPC has the largest network of billing, coding, auditing, and practice management professionals. We provide a suite of software and services that support healthcare organizations with training, accreditation, and the tools necessary to ensure revenue optimization. Learn more at this link: https://www.aapc.com/business/auditing-and-coding-services.aspx AAPC certifications encompass the entire business side of provider care, with physician coding (CPC®), hospital outpatient facility (COC®), hospital inpatient facility (CIC®), risk adjustment coding (CRC®), payer perspective coding (CPC-P®), practice management (CPPM™), and more. All certifications demonstrate a hands-on, working knowledge to support cleaner claim submissions, faster reimbursement, fewer denials, and better run practices. Specialty coding credentials are currently offered in 20 different fields of expertise. AAPC offers continuing education for all credentials through local chapters, workshops, webinars, a monthly newsmagazine (Healthcare Business Monthly), other publications, and conferences.
