Auditor Professional Fee Coding

Shift: Day
Schedule: Full - Time Regular

***This is a fulltime opportunity with the ability to work remotely***

Ardent Health Services invests in people, technology, facilities and communities, producing high-quality care and extraordinary results. Based in Nashville, Tennessee, Ardent’s subsidiaries own and operate 31 hospitals in seven states with more than 25,000 employees including 1,150 employed providers. Ardent facilities exceed national averages in Overall Hospital Quality Star Rating as ranked by the Centers for Medicare & Medicaid Services; 89 percent of its hospitals received a three-star rating or above in comparison with 73 percent of all hospitals ranked. Five of the company's hospitals were recognized by Modern Healthcare as "Best Places to Work" in 2018 - the eleventh consecutive year an Ardent facility made this list. Ardent's corporate office was named "Top Work Places" for Nashville based companies in 2017 and 2018.

We have an exciting opportunity to join our team as an Auditor, Professional Fee Coding.

This new position offers a work from home opportunity. There may be some travel associated with the position, but will not exceed 50%.  

Responsibilities:

The following are some, but not all inclusive, of the responsibilities of the auditing function: 

  • Using audit tools, authoritative references, CMS and CPT guidelines, bell curves, etc. to analyze for trends and annually audit providers and coders and provide education and feedback individually or in a group setting.
  • Adhering to policies, procedures and regulations to ensure compliance.
  • Audits provider E&M levels of service using Intelicode as an auditing tool.
  • Adheres to provider auditing schedules and adheres to audit production standards set by coding director.
  • Maintains provider scoring results.
  • Provides standard documentation on education feedback to providers in a timely manner. 
  • Ability to perform a trend analysis of provider's bell curves and pull reports accordingly.
  • Ability to work independently and use critical thinking skills.
  • Ability to provide education using pocket guides to providers.
  • Ability to multi-task and work in a fast paced environment.
  • Flexibility to audit other markets as needed.
  • Ability to communicate effectively via email correspondence.
  • Successfully completes educational courses assigned by Coding Director.
  • Participates in regular call-in huddles with Coding Director.

 

Experience:

  • E&M /Procedure/Surgery Auditing/Critical Care/Specialty Specific/Skewed Productivity Curves
  • Minimum of 1 year auditing experience or 3 years of coding E&M levels of service, including office visits, preventive services and hospital inpatient and observation services.

Licensure / Certification:

  • CPC (Certified Professional Coder) or equivalent certification
  • Desired: Auditing certification (e.g. CPMA-Certified Professional Medical Auditor)