Senior Consultant: Profee Auditor Quality and Education-PRN

About this role

Elevate your expertise! Join UASI today and work with the top HIM experts in the industry. Senior Consultant Auditor positions at UASI allow HIM professionals to have the best of both worlds: a challenging opportunity to utilize and enhance current auditing/coding skills and the convenience of working from home. We are currently seeking an experienced Profee Coding Auditor to perform coding audits on a variety of professional fee (profee) medical records.

The ideal candidate will be flexible, detail-oriented, quality-conscious, and able to work independently while adapting to changing priorities. The individual must demonstrate strong analytical and critical-thinking skills and the ability to manage multiple assignments and deadlines in a fast-paced, quality-driven environment. Additional qualifications include: Active AHIMA or AAPC certification, i.e., CPC, CPMA, CCS-P, or COC Minimum of 3-5 years of hands-on professional fee coding and medical record auditing in a multi-specialty or hospital-affiliated setting Experience across multiple medical specialties, including Emergency Department, Hospitalist, Primary Care, ENT, Nephrology, Urology, Cardiology, Thoracic, Neurology, Obstetrics and Gynecology, Behavioral Health, Ophthalmology, Endocrinology, etc.

Advanced knowledge and demonstrated auditing experience across the full range of professional coding, including ICD-10-CM diagnosis coding, CPT, HCPCS, modifiers, E/M leveling, and procedural coding. Strong knowledge of professional coding guidelines, CPT guidelines and conventions, CMS regulatory requirements, NCCI edits, and other applicable profee coding and billing requirements Ability to independently research complex coding scenarios, interpret authoritative coding guidance, i.e.

Official Coding Guidelines, Medicare/Medicaid Claims Processing Manual, OIG guidance, LCD/NCD documents and transmittals, and support audit findings with appropriate coding guidelines and regulatory references Ability to translate audit findings and identified trends into clear, actionable education and provide individualized feedback and one-on-one coaching to internal coders and auditors, supporting ongoing quality improvement Experience participating in or supporting peer review, audit-the-auditor, calibration, and other quality assurance activities to promote consistency, accuracy, and standardization.