Coding Auditor - Ambulatory/Professional Coding/Profee

RemoteChicago - 550 Van BurenMichigan-GraylingPennsylvania-Trappe BoroPennsylvania-East Lampeter TwpPennsylvania-Skippack TwpPennsylvania-Bethel Twp (Armstrong)Pennsylvania-North Bethlehem TwpPennsylvania-South Park TwpPennsylvania-West Norriton TwpPennsylvania-West Mifflin BoroPennsylvania-Wilkinsburg BoroPennsylvania-Cogan House Twp (Lycoming)Kentucky-Wolfe CountyPennsylvania-Reading (Berks)Pennsylvania-Bensalem TwpPennsylvania-Lower Salford TwpOhio-MentorMichigan-LansingPennsylvania-Clarks Green BoroOhio-LimaPennsylvania-Bethlehem TwpPennsylvania-West Cornwall Twp (Lebanon)Pennsylvania-Edgeworth BoroOhio-Rocky RiverKentucky-MurrayPennsylvania-Kennedy TwpPennsylvania-Moon TwpOhio-Bay VillageOhio-LakewoodOhio-AshvilleKentucky-Lakeside ParkPennsylvania-Lower Paxton TwpOhio-OxfordOhio-BedfordPennsylvania-Ross TwpPennsylvania-Newtown TwpPennsylvania-Washington TwpPennsylvania-Springettsbury Twp (York Suburban SD)Kentucky-DanvillePennsylvania-Wayne Twp (Crawford)Pennsylvania-Uwchlan TwpOhio-MiamisburgOhio-MedinaPennsylvania-Highspire BoroPennsylvania-North Huntingdon TwpOhio-Yellow SpringsOhio-Blue AshPennsylvania-New Britain Twp/Central Bucks SDPennsylvania-Ralpho TwpPennsylvania-Montgomery TwpPennsylvania-Fairview Twp (York)Pennsylvania-Exeter TwpPennsylvania-Abington TwpIndiana-OtherOhio-Cuyahoga FallsPennsylvania-Franconia TwpMichigan-WalkerOhio-SolonPennsylvania-Rayne TwpPennsylvania-North Strabane TwpPennsylvania-White Twp (Indiana)Pennsylvania-Thornbury Twp (Delaware)Pennsylvania-Moosic BoroOhio-Hunting ValleyPennsylvania-Forward TwpOhio-Saint ClairsvilleKentucky-HopkinsvilleKentucky-Jessamine CountyPennsylvania-Greene Twp (Franklin)Ohio-AlexandriaPennsylvania-Cherry Ridge TwpPennsylvania-Marple TwpPennsylvania-Hopewell TwpOhio-TwinsburgPennsylvania-Lower Pottsgrove TwpPennsylvania-Jefferson Twp (Somerset)Ohio-WickliffeOhio-OntarioOhio-South RussellPennsylvania-Patton TwpPennsylvania-Lower Burrell CityPennsylvania-Warwick Twp (Lancaster)Ohio-SpringboroOhio-Columbus (Franklin)Kentucky-Louisville (Non-Resident)Pennsylvania-Ephrata TwpPennsylvania-East Whiteland TwpPennsylvania-Schuylkill Twp (Chester)Ohio-Ottawa HillsPennsylvania-Fairview Twp (Luzerne)Pennsylvania-HaverfordKentucky-City of ShelbyvilleOhio-PowellPennsylvania-Cecil TwpPennsylvania-Upper Darby TwpIndiana-MarionPennsylvania-Jenner TwpPennsylvania-Unity TwpOhio-BeachwoodPennsylvania-Wayne Twp (Armstrong)Pennsylvania-Lansdale BoroPennsylvania-CraftonOhio-ClevelandPennsylvania-Dormont BoroLouisianaIndiana-White CountyWashington-OtherNorth CarolinaOhio-Reynoldsburg (Franklin)Indiana-Delaware CountyPennsylvania-Honesdale BoroPennsylvania-Londonderry Twp (Chester)Pennsylvania-Elizabethtown BoroPennsylvania-Chadds Ford TwpOhio-HudsonPennsylvania-Chartiers Twp (Chartiers-Houston SD)Indiana-Kosciusko CountyOhio-Genoa TwpDelaware-WilmingtonKentucky-Boone CountyIndiana-HancockPennsylvania-Connoquenessing TwpPennsylvania-East Goshen TwpPennsylvania-PhiladelphiaOhio-Bluffton VillageAlabama-BirminghamMissouri-OtherPennsylvania-Upper Merion TwpOhio-GahannaPennsylvania-East Coventry TwpPennsylvania-South Strabane TwpOhio-Columbus (Delaware)Pennsylvania-West Carroll Twp (Cambria Heights SD)New MexicoPennsylvania-Lynn TwpPennsylvania-CollierPennsylvania-HermitageDelaware-OtherOhio-Loveland (Hamilton)Pennsylvania-Ridley TwpOhio-AlliancePennsylvania-Dunmore BoroOhio-IndependenceOhio-MarysvillePennsylvania-Upper St Clair Twp & SDOhio-Chagrin FallsPennsylvania-South Annville TwpCalifornia-San FranciscoColorado-OtherIndiana-St Joseph County N/RPennsylvania-College Twp (PA)Pennsylvania-Adams Twp (Mars Area SD) (Butler)Pennsylvania-Hatfield TwpPennsylvania-Lancaster (Lancaster)Ohio-AthensKentucky-Shelby CountyKentucky-Fayette CountyKentucky-MillersburgPennsylvania-Hampden Twp (Cumberland Valley SD)Pennsylvania-Rochester BoroOhio-Cleveland HeightsPennsylvania-North Abington TwpIndiana-LaPorte CntyPennsylvania-Peters Twp & SD (Franklin)Pennsylvania-Vernon TwpPennsylvania-Charlestown TwpPennsylvania-Conneaut Lake BoroPennsylvania-Bedminster Twp (Pennridge SD)MarylandColorado-AuroraOhio-CantonOhio-CheviotPennsylvania-Camp Hill BoroIdahoPennsylvania-South Fayette TwpPennsylvania-Bradford Woods BoroMainePennsylvania-Solebury TwpOhio-ToledoPennsylvania-Bethel Twp (Delaware)Ohio-North RidgevilleOhio-Avon LakeIllinois - OtherPennsylvania-Derry Twp (Dauphin)Pennsylvania-Northampton Twp (Bucks)Pennsylvania-Castle Shannon Boro/Keystone Oaks SDPennsylvania-Robinson Twp (Allegheny)Ohio-East LakePennsylvania-Thornbury Twp (Chester)Pennsylvania-Munhall BoroOhio-Dublin (Franklin)UtahIndiana-Madison CountyOhio-Forest ParkPennsylvania-Willistown TwpConnecticutOhio-WilloughbyArizona-OtherPennsylvania-Darby BoroSouth CarolinaOklahomaVirginiaPennsylvania-South WilliamsportOregon-OtherOhio-WorthingtonPennsylvania-West Vincent TwpKentucky-Hopkins CountyPennsylvania-Slippery Rock Twp (Butler)Pennsylvania-Bellevue Boro (Allegheny)Pennsylvania-Westtown TwpWyomingOhio-GalenaColorado-Greenwood VillagePennsylvania-Wilson BoroOhio-Westerville (Franklin)Pennsylvania-Lower Makefield TwpIndiana-Vanderburgh CountyPennsylvania-Caernarvon Twp (Berks)Indiana-Clark CountyPennsylvania-Findlay Twp (Allegheny)Pennsylvania-Lower Moreland Twp (Montgomery)VermontOhio-Delaware (Delaware)Pennsylvania-Hamilton Twp (Franklin)Ohio-Reynoldsburg (Licking)Ohio-OtherPennsylvania-Reading Twp (Adams)Pennsylvania-London Grove TwpPennsylvania-Edinboro Boro (Erie)District of ColumbiaOhio-Bexley (Franklin)Ohio-Grandview Heights (Franklin)Ohio-Canal WinchesterOhio-South CharlestonPennsylvania-East Buffalo TwpPennsylvania-Richmond Twp (Tioga)Pennsylvania-Berwick BoroPennsylvania-Bethel ParkMississippiOhio-Upper ArlingtonOhio-Westerville (Delaware)Pennsylvania-Upper Providence Twp (Montgomery County)Pennsylvania-Decatur Twp (Philipsburg-Osceola Area SD) (Clearfield)Pennsylvania-Selinsgrove BoroKentucky-OtherPennsylvania-Middlesex Twp (Cumberland)Pennsylvania-McCandless TwpPennsylvania-Lower Gwynedd TwpPennsylvania-Ferguson Twp (State College SD) (Centre)Indiana-Johnson CountyKentucky-HansonOhio-North CantonKentucky-IndependenceOhio-DaytonPennsylvania-Yardley BoroPennsylvania-Plymouth Twp (Luzerne)Pennsylvania-Baldwin BoroOhio-LouisvilleOhio-South EuclidKentucky-Fort ThomasPennsylvania-Chippewa TwpOhio-OregonPennsylvania-Cranberry Twp (Butler)Ohio-PerrysburgWest Virginia-OtherNebraskaPennsylvania-Tredyffrin TwpWashington-SeattleIndiana-Monroe CountyPennsylvania-Scott Twp (Allegheny)Pennsylvania-HomesteadOhio-WestlakeOhio-FindlayMichigan-JacksonOhio-StrongsvilleOregon-TriMet (Portland)Kentucky-Cold SpringPennsylvania-Millcreek Twp (Erie)New HampshireOhio-DoverKansasPennsylvania-West Hanover TwpIndia-NagalandPennsylvania-SwarthmorePennsylvania-Conewago Twp (Dauphin)Ohio-MassillonPennsylvania-Independence Twp (Washington)Pennsylvania-ErieKentucky-LexingtonOhio-CincinnatiNevadaPennsylvania-Upper Makefield Twp (Council Rock SD)Pennsylvania-Pittsburgh-Edgewood BoroOhio-Shaker HeightsOhio-GranvilleNew York-New York CityPennsylvania-ScrantonOhio-New AlbanyPennsylvania-West Bradford TwpMassachusettsMichigan-OtherPennsylvania-Washington CityIndiana-Morgan CountyPennsylvania-Canton Twp (Washington)Kentucky-Highland HeightsPennsylvania-Peters Twp (Washington)Pennsylvania-Franklin Park Boro (North Allegheny SD)Indiana-Hamilton CountyPennsylvania-HorshamOhio-MontgomeryOhio-SalemPennsylvania-Lower Providence TwpPennsylvania-West Cameron TwpCalifornia-Mountain ViewKentucky-Campbell CountyColorado-BoulderPennsylvania-Manheim Twp & SD (Lancaster)Pennsylvania-Little Britain TwpPennsylvania-E Nantmeal TwpPennsylvania-North Fayette TwpPennsylvania-Fox Chapel BoroOhio-Mayfield HeightsKentucky-McCracken CountyKentucky-Villa HillsPennsylvania-HazletonMissouri-St. LouisAlabama-Shelby CountyOhio-Martin's FerryPennsylvania-Lower MerionOhio-BellefontainePennsylvania-Amity Twp (Berks)Indiana-Bartholomew CountyPennsylvania-Whitemarsh TwpAlabama-OtherPennsylvania-Baden BoroMichigan-Grand RapidsIndiana-Vigo CountyPennsylvania-Upper Providence Twp (Delaware County)Pennsylvania-Concord Twp (Delaware)FloridaPennsylvania-Bristol TwpPennsylvania-Palmer Twp (Easton Area SD)Indiana-Porter CountyPennsylvania-Milton BoroPennsylvania-Cumru TwpPennsylvania-Ohio TwpKentucky-PaducahPennsylvania-Upper Dublin Twp & SDWest Virginia-CharlestonPennsylvania-Conewago Twp (York)Pennsylvania-PittsburghArizona-San ApacheKentucky-Louisville (Resident)Pennsylvania-Richland Twp (Allegheny)Ohio-Mariemont VillagePennsylvania-East NorritonPennsylvania-York Twp (Dallastown Area SD)Pennsylvania-West Mead TwpKentucky-Lincoln CountyOhio-NortonPennsylvania-OtherIndiana-TippecanoeMissouri-Kansas CityNew York-OtherOhio-Mayfield VillagePennsylvania-State College BoroOhio-PainesvilleMontanaPennsylvania-Jefferson Hills TwpNorth DakotaKentucky-UnionPennsylvania-Hummelstown BoroPennsylvania-Wyomissing BoroTennesseeOhio-CanfieldOhio-AvonOhio-MadeiraPennsylvania-Mifflin Twp (Columbia)Ohio-North RoyaltonPennsylvania-Orwigsburg BoroOhio-CentervilleOhio-Oakwood CityPennsylvania-South LebanonIllinois - ChicagoOhio-PortsmouthPennsylvania-Hartleton BoroAlabama-AuburnOhio-GreenfieldOhio-MariettaPennsylvania-Mt Lebanon Twp & SDPennsylvania-Upper Gwynedd TwpMichigan-DetroitSouth DakotaOhio-CarrollOhio-TroyPennsylvania-North Belle Vernon BoroRhode IslandPennsylvania-Patterson Twp (Blackhawk SD)TexasPennsylvania-Neshannock Twp & SDPennsylvania-Bridgeport BoroPennsylvania-Harris TwpPennsylvania-Newton Twp (Bucks)Pennsylvania-Murrysville BoroOhio-Indian HillOhio-LaGrangeOhio-KetteringPennsylvania-Seven FieldsPennsylvania-Cornwall BoroPennsylvania-Windsor Twp (Berks)WisconsinPennsylvania-Chester Heights BoroIndiana-Elkhart CountyKentucky-City of Versailles (Woodford County)Ohio-Mount GileadKentucky-Scott CountyOhio-NorwoodPennsylvania-Pennsbury Village BoroGeorgiaPennsylvania-Wilkins TwpOhio-BrecksvilleOhio-WyomingOhio-SylvaniaPennsylvania-West ReadingKentucky-NewportPennsylvania-Conshohocken Boro (Colonial SD)Indiana-Boone CountyPennsylvania-Silver SpringIndiana-Cass CountyOhio-Vermilion (Erie)Ohio-Johnstown VillageCalifornia-OtherOhio-Middletown (Butler)Pennsylvania-Texas TwpNew York-YonkersOhio-Grove CityPennsylvania-Bethlehem CityKentucky-NelsonCountyPennsylvania-Windsor Twp (York)Indiana-Lake CountyPennsylvania-Union Twp (Mifflin)Pennsylvania-Carlisle BoroPennsylvania-Derry Twp (Mifflin)Pennsylvania-Indiana BoroPennsylvania-Avondale BoroOhio-LebanonIndiana-Warrick CountyPennsylvania-East Brandywine TwpColorado-DenverPennsylvania-Middletown Twp (Bucks)Pennsylvania-Upper Uwchlan Twp (Downingtown Area SD)Pennsylvania-Radnor TwpIowaPennsylvania-NorristownPennsylvania-Pine Twp (Pine-Richland SD) (Allegheny)Indiana-Allen CountyOhio-NewarkOhio-KentOhio-StowKentucky-LaGrangeOhio-MasonOhio-AkronMinnesotaArkansasOhio-HilliardPennsylvania-Evans City BoroPennsylvania-Hempfield Twp (Westmoreland)Indiana-Hendricks CountyPennsylvania-Perkiomen TwpPennsylvania-Manor Twp (Armstrong)New JerseyOhio-PickeringtonPennsylvania-Shaler TwpPennsylvania-Upper Macungie TwpFull timeJR-0016497Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.Join our team as the expert you are now and create your future.Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.The Coding Auditor - ambulatory/professional coding/profee will be responsible for auditing of coders and coding auditors to ensure coding accuracy standards are met. This role requires frequent and effective communication via phone, email, and instant messaging with various client teams and payers.The Coding Auditor - ambulatory/professional coding/profee will report to the Huron Managed Services Domestic Coding team.KEY RESPONSIBILITES:Knows, understands, incorporates, and demonstrates Huron's Vision, and Values in behaviors, practices, and decisions.Coding AuditorResponsible for the auditing of coders and/or "audit the auditors" to ensure coding accuracy of a minimum of 95% is met.Perform quality checks/audits on visits coded as per client SOPs.Perform calibration audits.Suggest improvements and schedule calibration sessions with offshore team counterparts and leaders.May assist in preparing audit reports, share direct feedback to coders and auditors on areas of opportunity, participate in client interactions and internal stakeholder meetings.Firm understanding of the clinical documentation guidelines.Monitor compliance of coding guidelines and ensure errors are identified during audits are corrected as appropriate, and corrective action is initiated before the claim is rebilled to the insurance.Conduct analysis and present summary of findings to leadership in a clear, concise, convincing, and actionable format.Utilizes encoder software applications, which includes all applicable online tools and references.Assigns appropriate code(s) by utilizing coding guidelines established by:The Centers for Disease Control (CDC), ICD-CM Official Coding Guidelines for Coding and Reporting, Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Guidelines for Coding and ReportingAmerican Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical ModificationThe American Medical Association (AMA) for CPT codes and CPT AssistantAmerican Health Information Management Association (AHIMA) Standards of Ethical CodingClient coding procedures and guidelinesNavigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes.Meets the productivity standards for coding auditing - as per the productivity norms specific to ambulatory coding standards.Maintains a high degree of professional and ethical standards.Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences.Maintains CEUs as appropriate for coding credentials as required by credentialing associations.Maintains current knowledge of changes in ambulatory/professional coding/profee coding and reimbursement guidelines and regulations.Ensure patient information is correct and appropriate signatures are on all medical records.Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.Utilizes EMR communication tools to track missing documentation or ambulatory queries that require follow-up to facilitate coding in a timely fashion.Works with HIM and Patient Financial Services (PFS) teams, when needed, to help resolve billing, claims, denial and appeals issues affecting reimbursement.Identifies, and attempts to problem solve, coding and/or EMR workflow issues that can impact coding.Exhibits awareness of health record documentation or other coding ethics concerns.Notifies appropriate leadership for assistance, resolution when appropriate.Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, Code of Ethics, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical and professional behavior.My require abstracting of additional data elements.Perform other duties as assigned.CORE QUALIFICATIONS:Current permanent United States Work Authorization requiredWorking in the United States Day shift schedule requiredExperience in coding specialties such as E&M, Oncology, Acute, Ambulatory, Cardiology, Radiology, Pathology, Anesthesia, Emergency Room, Surgery, and others2+ years previous experience as a professional/profee/ambulatory coding auditor3+ years of experience coding professional/profee/ambulatory accountsAdvanced proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, Visio, SharePoint)Analytical skills (problem solving, quantitative, workflow process, etc.)Ability to pay close attention to details; strong follow-up and follow-through skillsExcellent time management skills; organized; ability to prioritize completing multiple tasks on schedule in a deadline driven environmentRequires the use of independent judgement, discretion and decision-making abilitiesAbility to interact with internal and external customers in a professional mannerAbility to ramp up on a client's environment, processes, historical context, and systems to provide support to an engagement as soon as possibleFinancial acumen and analytical skills are requiredExperience working with data from various sources preferredFamiliarity with revenue cycle systems, deep understanding of revenue cycle process flow and financial analysisDesire to work as part of a team in a partnership roleStrong oral and written communication skills, analytical skills, ability to work independently, and be self-motivated are requiredFlexible and adaptable to changePHYSICAL DEMANDS:This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time.TECHNICAL QUALIFICATIONS:Required Certifications:Certified Professional Coder (CPC) through AAPCPreferred Certifications:AAPC CPMA (Certified Professional Medical Auditor)Registered Health Information Administrator (RHIA) preferredEncoder experience (3M/Solventum, Encoder Pro, Codify) preferredEpic experience preferredCerner experience preferredMeditech experience preferredKey Performance Indicators (KPIs) - ExpectationsCoding Auditing Productivity: = 95%Coding Auditing Accuracy: = 95%The estimated pay range for this job is $26.44 - $52.40 per hour. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. The job is also eligible to participate in Huron's benefit plans which include medical, dental and vision coverage and other wellness programs.Position LevelAnalystCountryUnited States of AmericaAt Huron, we're redefining what a consulting organization can be. We go beyond advice to deliver results that last. We inherit our client's challenges as if they were our own. We help them transform for the future. We advocate. We make a difference. And we intelligently, passionately, relentlessly do great work...together.Are you the kind of person who stands ready to jump in, roll up your sleeves and transform ideas into action? Then come discover Huron.Whether you have years of experience or come right out of college, we invite you to explore our many opportunities. Find out how you can use your talents and develop your skills to make an impact immediately. Learn about how our culture and values provide you with the kind of environment that invites new ideas and innovation. Come see how we collaborate with each other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to make a difference in partnership with our clients, shareholders, communities and colleagues.Huron Consulting Group offers a competitive compensation and benefits package including medical, dental, and vision coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous Paid Time Off policy; and paid parental leave and adoption assistance. Our Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year. All benefits and programs are subject to applicable eligibility requirements.Huron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We endeavor to maintain a drug-free workplace.