• Hospitalist Auditor

    Insight Global (Houston, TX)


    Job Description

    A large hospital system in Houston, TX is seeking a Hospital Auditor to join their Profee team. The Hospitalist Auditor is responsible for reviewing provider documentation for accuracy and compliance with coding and billing guidelines. This role ensures proper capture of professional fees and identifies opportunities for improvement. In addition to auditing, the auditor will provide targeted education to hospitalist providers to enhance documentation practices that impact billing, claims, and revenue integrity. This role is hybrid and does include going to the different hospitals around Houston to meet with the Hospitalist providers and go over the audit results and provide education on how they can improve documentation.

     

    We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

     

    Skills and Requirements

     

    2+ years of recent experience auditing providers

     

    Inpatient Profee Auditing experience

     

    Profee coding background

     

    CPC or COC Coding Certification from AAPC or CPMA certification

     

    Knowledgeable of teaching physician guidelines and coding guidelines about split shared visits

     

    Knowledge of coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process Experience with EPIC