Sr Professional Facility Auditor
Sr Professional Facility Auditor
Posted on :
24-07-2025
Employer Active
1 Vacancy
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Hourly Salary
$ 28 - 53
Vacancy
1 Vacancy
Posted on :
24-07-2025
Job Description
Description
Position at Nuvance Health
Must reside in the following states:
AZ CT DE FL GA IL IN KS MA MD ME MI MS NC NH NJ NY OH PA SC TN TX and VA.
Job Title: Senior Professional Facility Auditor
Company: Nuvance Health
Department: Facility Charging and Coding
Location: Remote
Employment Type: Full-Time Non-Exempt
Salary Range: $28 $53/hour
Company: Nuvance Health
Department: Facility Charging and Coding
Location: Remote
Employment Type: Full-Time Non-Exempt
Salary Range: $28 $53/hour
About the Role
Nuvance Health is seeking a detail-oriented and experienced Senior Professional Facility Auditor to join our Facility Charging and Coding team. In this role you will perform in-depth audits of facility and professional coding to ensure clinical documentation supports services rendered. Your expertise in medical terminology anatomy physiology regulatory compliance and coding guidelines will be essential in driving accuracy and improving documentation and billing practices across our organization.
Key Responsibilities
- Conduct comprehensive audits of ICD-10 CPT4 HCPCS E/M codes medical supplies orders and UB04/revenue codes for both facility and professional services.
- Lead educational sessions for coders based on audit findings to reinforce compliance with CMS Medicare state/federal regulations and internal policies.
- Stay current with CMS NGS Medicare AAPC and OIG updates bulletins and compliance requirements to ensure up-to-date coding standards.
- Collaborate with physician and hospital coding leadership to identify documentation and coding trends errors and improvement opportunities.
- Perform accurate coding and charging for complex clinical services including interventional cardiology radiology and vascular procedures.
- Utilize internal systems and applications with a high level of competency to ensure audit accuracy and reporting efficiency.
- Participate in team meetings ongoing education and continuous improvement initiatives to support departmental goals.
- Maintain high standards for customer service teamwork safety and compliance.
- Perform additional duties as assigned.
Qualifications
Required:
- CPCCCS-PCOCRHIT With Coding/Auditing experienceRHIA With Coding/Auditing experience
- Outpatient Facility Coding - Auditing will include facility coding for Interventional Radiology Cardiac Cath Outpatient Surgery Observation & Ancillary
- Advanced knowledge of medical terminology anatomy physiology and federal/state documentation and billing regulations
- Extensive experience auditing both facility and professional medical coding
- Proficiency in coding complex encounters and using relevant coding systems and software
Preferred (Not Required):
- Associates degree or higher
- CIRCC & CCC
- Coursework in Anatomy and Physiology
Work Conditions
- Physical Effort: Light primarily sedentary; may exert up to 10 lbs. of force
- Working Environment: Generally pleasant; no significant occupational risks
- Communication: Daily interaction including verbal written and participation in team meetings
Why Join Nuvance Health
At Nuvance Health we are committed to providing outstanding care and support to our patients and teams. Join a collaborative and progressive environment where your skills in compliance coding and education can make a measurable impact.
Required Experience:
Senior IC
Employment Type
Hourly
Key Skills
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