ProFee Coding Auditor

Medovent Solutions is a nationally recognized healthcare staffing and consulting firm headquartered in Tampa Bay. We are proud to be named one of the Best Places to Work by the Tampa Bay Business Journal, included in the Fast 50 for fastest-growing companies in Tampa Bay, and honored as part of the prestigious Inc. 5000 list of America’s fastest-growing private companies. We are passionate about supporting healthcare organizations and professionals nationwide with expertise, innovation, and integrity.

Opportunity Overview

• Restricted States: Candidates residing in California, New York, Rhode Island, US Virgin Islands, Hawaii, North Dakota, Washington, Puerto Rico, New Jersey, Oregon, or Wyoming are not eligible for this role.

Position Summary

Medovent Solutions is seeking an experienced ProFee Coding Auditor to perform professional fee coding quality audits and provide feedback to coders for a healthcare client. This role covers orthopedics, neurosurgery, PT/OT, E&M, and multispecialty surgery.

The ideal candidate is a well-rounded auditor who is proficient in various types of coding and uses ICD-10-CM/PCS, HCPCS including CPT, and other coding references to ensure accurate coding.

Audit Specialties

• Orthopedics
• Neurosurgery
• Physical Therapy and Occupational Therapy (PT/OT)
• Evaluation and Management (E&M)
• Multispecialty Surgery

Key Responsibilities

• Perform routine coding quality reviews on all coders, including third-party suppliers as appropriate.
• Perform coding quality reviews in collaboration with or for internal customers of the organization.
• Provide feedback to coders as appropriate depending on findings.
• Use the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT), and other coding references to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC).
• Abstract and validate required data elements into the coding and abstracting system.
• Work collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for accurate, complete, and compliant documentation.
• Complete production coding when needed and assigned.

Required Qualifications

• Must have 5 years of coding experience, with at least 1 year as a coding auditor.
• Must possess one of the following registrations or certifications: Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist Physician-based (CCS-P), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), or Certified Interventional Radiology Cardiovascular Coder (CIRCC).
• Strong knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area.
• Strong knowledge of transaction code sets, HIPAA requirements, and other issues impacting the coding and abstracting function.
• Strong knowledge of anatomy, physiology, and medical terminology.
• Strong knowledge of ICD-10-CM/PCS coding and/or CPT procedural coding.
• Demonstrated competency in the use of computer applications, group software, and Correct Coding Initiatives (CCI) edits.
• Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
• Strong interpersonal, verbal, and written communication skills.
• Flexibility and adaptability while balancing requirements and regulatory and accreditation guidelines that are non-negotiable.

Medovent Solutions offers an exceptional benefits package including a comprehensive medical/dental/vision plan, a 401(k) savings plan, paid holidays, and vacation pay.

Medovent Solutions is an Equal Opportunity Employer and does not discriminate in its employment practices on the basis of race, religion, sex, color, national origin, age, disability, citizenship, genetic information, veteran status or military service, or any other characteristic protected by federal or Florida law.