Job Description
Key Responsibilities
- Audit medical records to validate clinical documentation to support evaluation and management services, ancillary services, procedures, and diagnoses.
- Research regulatory guidelines for supporting documentation.
- Prepare audit summary findings, provide detailed comments related to the audit findings and make recommendations.
- Maintain production and quality metrics of 95% or greater.
- Prepare oral and/or written reports of audit activity to Supervisor.
- Responsible and accountable for maintaining the confidentiality, integrity, and availability of protected health information. Follow HIPAA security policies and procedures affecting your job, and report any suspected or actual violation or breach
- Perform other duties as assigned
Expectations:
- Minimum 5 years of auditing experience
- Extensive auditing in multiple specialties with strong experience in behavioral health, OBGYN, and ophthalmology.
- 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.
Certification Requirements:
- CPC®
- RHIT or CPMATM – to be completed within a year of hire
Attributes:
- 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
AAPC offers a competitive compensation commensurate with experience, along with a comprehensive benefits package including medical, dental and vision insurance, 401(k) retirement plan, Health Savings Account (HSA), and generous PTO and holiday pay.
AAPC 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.
We are an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, 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.