Physician Auditor needed with Experience Coding in Children’s Hospital Setting (Part-Time)
Health Information Partners (HIP) is seeking a part-time Physician Auditor. Candidates should demonstrate strong expertise in coding a wide range of physician accounts in a children’s hospital setting, including NICU, Orthopedics, and Medical-Surgical services.
Responsibilities include:
• Responsible for the accurate quality assurance review of coding audits, as well as coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially cardiology and orthopedic surgery.
• The auditor will assist HIP clients with provider documentation improvement, reviews for billing and other regulatory compliance with third party payers, revenue cycle management, as well as reimbursement methodology advisory support.
Job Requirements:
• 3+ years recent Pro-fee Auditing for a children’s Hospital
• General Pro-Fee coding experience required, multi-specialty preferred (NICU, orthopedics, medical-surgical, etc.)
• Subject Matter expert in CPT, ICD-10-CM, and HCPCS Coding
• Epic software experience is required. 2 years (Preferred)
• Current credential of CPC/CCS-P or related coding professional credential required
• Strong understanding of and experience in auditing for compliance with 1995, 1997, and 2021/2023 E/M Guidelines required
• Additional credentials such as RHIA/RHIT, CCS, CPMA, or specialty designations desirable
• Physician financial reimbursement and revenue cycle understanding is preferred
• Experience presenting to physicians and other healthcare providers required
• Ability to work in a fast-paced, high-volume coding audit (5-7 encounters per hour average expected) environment with a team, which expects high-quality deliverables and accuracy to clients
• Superior communication skills, both oral and written
• Excellent project management skills
• Traits that include detail-oriented, flexible, and responsive
Candidates will:
• Successfully pass a pre-employment coding proficiency test
• Successfully pass a criminal record/OIG/drug screening
What We Offer:
• Competitive hourly rate or salary (discussed during the hiring process).
• Opportunities for professional growth and development.
• A supportive remote working environment with access to resources and guidance.
• Flexible scheduling to suit your individual needs.
About Health Information Partners: At HIP, we are dedicated to excellence in health information management. Our team values collaboration, professionalism, and the unique skills each member brings to the table. We strive to create a positive and rewarding work environment for all our employees.
How to Apply: If you’re ready to bring your expertise to a dynamic and supportive team, we’d love to hear from you! Submit your application and updated resume to [email protected] today.
Application Question(s):
• 1. What credentials do you have?
• 2. What auditing platforms or encoders have you worked with (e.g., 3M, Optum, RevCycle, Epic audit tools)?
• 3. How comfortable are you using Epic or other EHR systems for audit review and documentation?
• 4. Walk me through your approach to auditing a provider’s note. What’s your process from start to finish?
• 5. How do you handle gray areas in coding — when documentation could support more than one code level?
• 6. What are the most common issues you’ve identified in professional fee audits?
• 7. Have you performed focused or provider-specific education based on audit trends? Tell me about that process.
• 8. How do you track and report audit findings — manually, or using automated dashboards or reports?
• 9. Are you available to start immediately, or do you require a notice period?
• 10. Do you have experience working independently in a remote environment with minimal supervision?
• 11. What is your hourly salary expectation for this position?
Work Location: Remote
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Responsibilities include:
• Responsible for the accurate quality assurance review of coding audits, as well as coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially cardiology and orthopedic surgery.
• The auditor will assist HIP clients with provider documentation improvement, reviews for billing and other regulatory compliance with third party payers, revenue cycle management, as well as reimbursement methodology advisory support.
Job Requirements:
• 3+ years recent Pro-fee Auditing for a children’s Hospital
• General Pro-Fee coding experience required, multi-specialty preferred (NICU, orthopedics, medical-surgical, etc.)
• Subject Matter expert in CPT, ICD-10-CM, and HCPCS Coding
• Epic software experience is required. 2 years (Preferred)
• Current credential of CPC/CCS-P or related coding professional credential required
• Strong understanding of and experience in auditing for compliance with 1995, 1997, and 2021/2023 E/M Guidelines required
• Additional credentials such as RHIA/RHIT, CCS, CPMA, or specialty designations desirable
• Physician financial reimbursement and revenue cycle understanding is preferred
• Experience presenting to physicians and other healthcare providers required
• Ability to work in a fast-paced, high-volume coding audit (5-7 encounters per hour average expected) environment with a team, which expects high-quality deliverables and accuracy to clients
• Superior communication skills, both oral and written
• Excellent project management skills
• Traits that include detail-oriented, flexible, and responsive
Candidates will:
• Successfully pass a pre-employment coding proficiency test
• Successfully pass a criminal record/OIG/drug screening
What We Offer:
• Competitive hourly rate or salary (discussed during the hiring process).
• Opportunities for professional growth and development.
• A supportive remote working environment with access to resources and guidance.
• Flexible scheduling to suit your individual needs.
About Health Information Partners: At HIP, we are dedicated to excellence in health information management. Our team values collaboration, professionalism, and the unique skills each member brings to the table. We strive to create a positive and rewarding work environment for all our employees.
How to Apply: If you’re ready to bring your expertise to a dynamic and supportive team, we’d love to hear from you! Submit your application and updated resume to [email protected] today.
Application Question(s):
• 1. What credentials do you have?
• 2. What auditing platforms or encoders have you worked with (e.g., 3M, Optum, RevCycle, Epic audit tools)?
• 3. How comfortable are you using Epic or other EHR systems for audit review and documentation?
• 4. Walk me through your approach to auditing a provider’s note. What’s your process from start to finish?
• 5. How do you handle gray areas in coding — when documentation could support more than one code level?
• 6. What are the most common issues you’ve identified in professional fee audits?
• 7. Have you performed focused or provider-specific education based on audit trends? Tell me about that process.
• 8. How do you track and report audit findings — manually, or using automated dashboards or reports?
• 9. Are you available to start immediately, or do you require a notice period?
• 10. Do you have experience working independently in a remote environment with minimal supervision?
• 11. What is your hourly salary expectation for this position?
Work Location: Remote
Apply tot his job
Apply To this Job