Jan 21, 2025

Pro Fee Medical Auditor

  • Healthcare Coding & Consulting Services (HCCS)
  • Remote
Full Time (CPC) Certified Professional Coder (CPMA) Certified Professional Medical Auditor (CCS-P) Certified Coding Specialist - Physician Based (RHIT) Registered Health Information Technician (RHIA) Registered Health Information Administrator

Job Description

Healthcare Coding and Consulting Services, LLC (HCCS) is excited to announce full-time opportunities for dedicated, certified remote Pro Fee / Pro Clinic Auditors. We are seeking candidates who are enthusiastic about professional growth and eager to learn new specialties. Ideal candidates should be independent, adaptable, and thrive in dynamic settings. The role involves auditing coders and providers to ensure compliance with accuracy standards and to identify potential risks to clients. 

Key Responsibilities:  

  • Audit Inpatient, Same Day Surgery, Observation, and Pro Clinic charts. 

  • Specialize in at least three of the following areas: Primary Care, Rural Health Clinics, Cardiology, Obstetrics, Behavioral Health, IVR, General Surgery, Spinal Surgeries, or Podiatry. 

Position Requirements:  

  • Minimum of 3 years' experience in auditing Inpatient, Same Day Surgery, Observation, and Pro Clinic charts. 

  • Extensive knowledge of coding and auditing principles, including experience with teaching facilities, understanding of incident-to guidelines, and split/shared billing. 

  • Proficiency in CMS and LCD guidelines. 

  • Required certification from AHIMA or AAPC (CPC, CCS-P, CPMA, RHIT, RHIA). 

  • Demonstrated skill in medical necessity assessments. 

  • Experience in clinical documentation improvement (preferred). 

  • Proficiency in various systems, such as Cerner and Epic, is advantageous. 

What We Offer: 

  • Competitive salary as a W-2 employee. 

  • Comprehensive benefits package including health, dental, and vision insurance. 

  • 401K plan with employer match. 

  • Generous PTO and holiday pay. 

  •  Paid Life Insurance and Long-term disability. 

  • Provision of necessary computer equipment. 

  • Reimbursement for professional memberships and continuing education units (CEUs). 

 

Required Experience Level

Senior Level

Minimum Education

High School

Minimum Experience Required

4-6 years

Required Travel

No required travel

Applicant Location

US residents only