Description: Ambulatory E/M Auditor and Coder

Provides auditing and medical coding inputs into product development to meet tactical business objectives. Certified Professional Coder (CPC) preferred. 3+ years experience analyzing and assigning evaluation and management (E/M) charges in the ambulatory setting. Understanding of professional fee coding including E/M, procedures, and modifiers.

Responsibilities

Serve as a liaison with product management and engineering as an input into product model development. Leverage 3+ years of ambulatory E/M and other professional fee auditing and coding experience to support the development of AI models. Collect, input, verify, correct, and analyze data to measure key performance indicator actual versus business objectives.

Qualifications

3+ years of ambulatory E/M auditing and coding experience Must have hands on auditing and coding experience Must have advanced proficiency with 2021 E/M Coding Guidelines Interacted with claims and billing department on the issues of coding related to billing Preferred – AHIMA or AAPC – Certified Professional Coder (CPC)

 

Leading contributor individually and as a team member. Work is very complex, involving the application of advanced technical/business skills in area of specialization. Ability to collect, organize, and display data in spreadsheet format. Follow-through skills necessary to get information implemented into incremental model development improvements. For this, relationship management skills strongly desired. Strong written and verbal communication skills.

Career Level - IC2