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Fidelity Partners Services
Fidelity Partners Services
51 – 200 Employees
GovernmentHealthcareLogistics
Fidelity Partners Services supports government and commercial clients through healthcare, technology, logistics, and related services. With more than 30 years of experience, the company focuses on hands-on contract management, responsive customer service, and dependable, mission-oriented execution across complex engagements.
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Professional Fee Coding Auditor - Remote in United States

Audit inpatient and outpatient VA professional-fee coding for accuracy, compliance, documentation support, and reimbursement impact. The role also supports reporting, facility-specific education, and corrective-action recommendations for Fidelity Partners Services.

USUnited States
$38 / hour
RemoteFull-timeMiddleSeniorEnglish RequiredAuditor

Description

  • Conduct independent audits of inpatient and outpatient professional-fee coding for accuracy, documentation support, compliance, and reimbursement impact.
  • Assess ICD-10-CM, CPT, HCPCS Level II, evaluation and management, modifier, professional-component, and bundling assignments.
  • Confirm provider details, scope of practice, billability, and documentation supporting reported professional services.
  • Flag incorrect, missing, unbundled, upcoded, downcoded, unsupported, and otherwise noncompliant codes or modifiers.
  • Review diagnoses and procedures in the electronic health record and approved audit tools according to established sampling requirements.
  • Record findings with applicable authority, financial impact, risk assessment, and recommended corrective action.
  • Sustain audit accuracy of at least 95 percent and participate in calibration activities.
  • Support audit plans, collection tools, facility reports, consolidated reports, and progress updates.
  • Discuss preliminary findings with HIMS leadership, the COR, management, and designated facility representatives.
  • Prepare or assist with final reports covering accuracy, documentation concerns, financial impact, process improvement, and education needs.
  • Create and deliver facility-specific coding education and assist with exit conferences.
  • Safeguard VA information and comply with privacy, information-security, encryption, and remote-work requirements.
  • Complete assigned audit schedules, reporting deadlines, training, credentialing, and access requirements.

Requirements

  • U.S. citizenship.
  • Ability to read, write, speak, and understand English.
  • Active RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H credential.
  • At least two years of coding experience in the applicable coding area.
  • At least three years of consulting experience reviewing records in large tertiary-care hospitals and outpatient organizations with primary care and subspecialty services.
  • At least three years of education and training experience.
  • Proficiency with ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, DRG, modifier, bundling, reimbursement, documentation, and compliance requirements.
  • Successful completion of the Low Risk NACI background process.
  • Completion of required VA privacy, information-security, and mandatory training.
  • Ability to work securely from within the United States.
  • Ability to maintain audit accuracy of at least 95 percent.
  • Ability to meet reporting and turnaround requirements.
  • Current resume documenting the required coding, consultant record-review, and education or training experience.
  • Signed Letter of Intent and completed candidate cover page.
  • Proof of an active, accepted AHIMA or AAPC credential.
  • Two current client references specific to the individual reviewer.
  • OIG exclusion search results and requested background, security, identification, privacy, training, or onboarding documents.

Benefits

  • Competitive salary and benefits packages.
  • Fully remote work arrangement within the United States.
  • Remote schedules coordinated with assignment requirements.
  • Approved equipment, software, encoder tools, internet connectivity, reference materials, and secure workspace for remote work.

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