Remote
nChicago - 550 Van Buren
nMichigan-Grayling
nPennsylvania-Trappe Boro
nPennsylvania-East Lampeter Twp
nPennsylvania-Skippack Twp
nPennsylvania-Bethel Twp (Armstrong)
nPennsylvania-North Bethlehem Twp
nPennsylvania-South Park Twp
nPennsylvania-West Norriton Twp
nPennsylvania-West Mifflin Boro
nPennsylvania-Wilkinsburg Boro
nPennsylvania-Cogan House Twp (Lycoming)
nKentucky-Wolfe County
nPennsylvania-Reading (Berks)
nPennsylvania-Bensalem Twp
nPennsylvania-Lower Salford Twp
nOhio-Mentor
nMichigan-Lansing
nPennsylvania-Clarks Green Boro
nOhio-Lima
nPennsylvania-Bethlehem Twp
nPennsylvania-West Cornwall Twp (Lebanon)
nPennsylvania-Edgeworth Boro
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nKentucky-Murray
nPennsylvania-Kennedy Twp
nPennsylvania-Moon Twp
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nOhio-Lakewood
nOhio-Ashville
nKentucky-Lakeside Park
nPennsylvania-Lower Paxton Twp
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nOhio-Bedford
nPennsylvania-Ross Twp
nPennsylvania-Newtown Twp
nPennsylvania-Washington Twp
nPennsylvania-Springettsbury Twp (York Suburban SD)
nKentucky-Danville
nPennsylvania-Wayne Twp (Crawford)
nPennsylvania-Uwchlan Twp
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nOhio-Medina
nPennsylvania-Highspire Boro
nPennsylvania-North Huntingdon Twp
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nOhio-Blue Ash
nPennsylvania-New Britain Twp/Central Bucks SD
nPennsylvania-Ralpho Twp
nPennsylvania-Montgomery Twp
nPennsylvania-Fairview Twp (York)
nPennsylvania-Exeter Twp
nPennsylvania-Abington Twp
nIndiana-Other
nOhio-Cuyahoga Falls
nPennsylvania-Franconia Twp
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nOhio-Solon
nPennsylvania-Rayne Twp
nPennsylvania-North Strabane Twp
nPennsylvania-White Twp (Indiana)
nPennsylvania-Thornbury Twp (Delaware)
nPennsylvania-Moosic Boro
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nPennsylvania-Forward Twp
nOhio-Saint Clairsville
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nKentucky-Jessamine County
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nOhio-Alexandria
nPennsylvania-Cherry Ridge Twp
nPennsylvania-Marple Twp
nPennsylvania-Hopewell Twp
nOhio-Twinsburg
nPennsylvania-Lower Pottsgrove Twp
nPennsylvania-Jefferson Twp (Somerset)
nOhio-Wickliffe
nOhio-Ontario
nOhio-South Russell
nPennsylvania-Patton Twp
nPennsylvania-Lower Burrell City
nPennsylvania-Warwick Twp (Lancaster)
nOhio-Springboro
nOhio-Columbus (Franklin)
nKentucky-Louisville (Non-Resident)
nPennsylvania-Ephrata Twp
nPennsylvania-East Whiteland Twp
nPennsylvania-Schuylkill Twp (Chester)
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nPennsylvania-Fairview Twp (Luzerne)
nPennsylvania-Haverford
nKentucky-City of Shelbyville
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nPennsylvania-Cecil Twp
nPennsylvania-Upper Darby Twp
nIndiana-Marion
nPennsylvania-Jenner Twp
nPennsylvania-Unity Twp
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nPennsylvania-Wayne Twp (Armstrong)
nPennsylvania-Lansdale Boro
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nPennsylvania-Dormont Boro
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nPennsylvania-Elizabethtown Boro
nPennsylvania-Chadds Ford Twp
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nPennsylvania-East Coventry Twp
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nPennsylvania-West Carroll Twp (Cambria Heights SD)
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nPennsylvania-Lynn Twp
nPennsylvania-Collier
nPennsylvania-Hermitage
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nPennsylvania-Ridley Twp
nOhio-Alliance
nPennsylvania-Dunmore Boro
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nIndiana-St Joseph County N/R
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nPennsylvania-Rochester Boro
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nIndiana-LaPorte Cnty
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nPennsylvania-Vernon Twp
nPennsylvania-Charlestown Twp
nPennsylvania-Conneaut Lake Boro
nPennsylvania-Bedminster Twp (Pennridge SD)
nMaryland
nColorado-Aurora
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nOhio-Cheviot
nPennsylvania-Camp Hill Boro
nIdaho
nPennsylvania-South Fayette Twp
nPennsylvania-Bradford Woods Boro
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nOhio-Avon Lake
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nPennsylvania-Northampton Twp (Bucks)
nPennsylvania-Castle Shannon Boro/Keystone Oaks SD
nPennsylvania-Robinson Twp (Allegheny)
nOhio-East Lake
nPennsylvania-Thornbury Twp (Chester)
nPennsylvania-Munhall Boro
nOhio-Dublin (Franklin)
nUtah
nIndiana-Madison County
nOhio-Forest Park
nPennsylvania-Willistown Twp
nConnecticut
nOhio-Willoughby
nArizona-Other
nPennsylvania-Darby Boro
nSouth Carolina
nOklahoma
nVirginia
nPennsylvania-South Williamsport
nOregon-Other
nOhio-Worthington
nPennsylvania-West Vincent Twp
nKentucky-Hopkins County
nPennsylvania-Slippery Rock Twp (Butler)
nPennsylvania-Bellevue Boro (Allegheny)
nPennsylvania-Westtown Twp
nWyoming
nOhio-Galena
nColorado-Greenwood Village
nPennsylvania-Wilson Boro
nOhio-Westerville (Franklin)
nPennsylvania-Lower Makefield Twp
nIndiana-Vanderburgh County
nPennsylvania-Caernarvon Twp (Berks)
nIndiana-Clark County
nPennsylvania-Findlay Twp (Allegheny)
nPennsylvania-Lower Moreland Twp (Montgomery)
nVermont
nOhio-Delaware (Delaware)
nPennsylvania-Hamilton Twp (Franklin)
nOhio-Reynoldsburg (Licking)
nOhio-Other
nPennsylvania-Reading Twp (Adams)
nPennsylvania-London Grove Twp
nPennsylvania-Edinboro Boro (Erie)
nDistrict of Columbia
nOhio-Bexley (Franklin)
nOhio-Grandview Heights (Franklin)
nOhio-Canal Winchester
nOhio-South Charleston
nPennsylvania-East Buffalo Twp
nPennsylvania-Richmond Twp (Tioga)
nPennsylvania-Berwick Boro
nPennsylvania-Bethel Park
nMississippi
nOhio-Upper Arlington
nOhio-Westerville (Delaware)
nPennsylvania-Upper Providence Twp (Montgomery County)
nPennsylvania-Decatur Twp (Philipsburg-Osceola Area SD) (Clearfield)
nPennsylvania-Selinsgrove Boro
nKentucky-Other
nPennsylvania-Middlesex Twp (Cumberland)
nPennsylvania-McCandless Twp
nPennsylvania-Lower Gwynedd Twp
nPennsylvania-Ferguson Twp (State College SD) (Centre)
nIndiana-Johnson County
nKentucky-Hanson
nOhio-North Canton
nKentucky-Independence
nOhio-Dayton
nPennsylvania-Yardley Boro
nPennsylvania-Plymouth Twp (Luzerne)
nPennsylvania-Baldwin Boro
nOhio-Louisville
nOhio-South Euclid
nKentucky-Fort Thomas
nPennsylvania-Chippewa Twp
nOhio-Oregon
nPennsylvania-Cranberry Twp (Butler)
nOhio-Perrysburg
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nNebraska
nPennsylvania-Tredyffrin Twp
nWashington-Seattle
nIndiana-Monroe County
nPennsylvania-Scott Twp (Allegheny)
nPennsylvania-Homestead
nOhio-Westlake
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nKansas
nPennsylvania-West Hanover Twp
nIndia-Nagaland
nPennsylvania-Swarthmore
nPennsylvania-Conewago Twp (Dauphin)
nOhio-Massillon
nPennsylvania-Independence Twp (Washington)
nPennsylvania-Erie
nKentucky-Lexington
nOhio-Cincinnati
nNevada
nPennsylvania-Upper Makefield Twp (Council Rock SD)
nPennsylvania-Pittsburgh-Edgewood Boro
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nOhio-New Albany
nPennsylvania-West Bradford Twp
nMassachusetts
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nPennsylvania-Franklin Park Boro (North Allegheny SD)
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nPennsylvania-West Cameron Twp
nCalifornia-Mountain View
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nColorado-Boulder
nPennsylvania-Manheim Twp & SD (Lancaster)
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nPennsylvania-E Nantmeal Twp
nPennsylvania-North Fayette Twp
nPennsylvania-Fox Chapel Boro
nOhio-Mayfield Heights
nKentucky-McCracken County
nKentucky-Villa Hills
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nAlabama-Other
nPennsylvania-Baden Boro
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nPennsylvania-Concord Twp (Delaware)
nFlorida
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nIndiana-Porter County
nPennsylvania-Milton Boro
nPennsylvania-Cumru Twp
nPennsylvania-Ohio Twp
nKentucky-Paducah
nPennsylvania-Upper Dublin Twp & SD
nWest Virginia-Charleston
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nPennsylvania-Pittsburgh
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nOhio-Mariemont Village
nPennsylvania-East Norriton
nPennsylvania-York Twp (Dallastown Area SD)
nPennsylvania-West Mead Twp
nKentucky-Lincoln County
nOhio-Norton
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nIndiana-Tippecanoe
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nPennsylvania-Wyomissing Boro
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nPennsylvania-Mifflin Twp (Columbia)
nOhio-North Royalton
nPennsylvania-Orwigsburg Boro
nOhio-Centerville
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nPennsylvania-South Lebanon
nIllinois - Chicago
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nPennsylvania-Hartleton Boro
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nPennsylvania-Upper Gwynedd Twp
nMichigan-Detroit
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nOhio-Troy
nPennsylvania-North Belle Vernon Boro
nRhode Island
nPennsylvania-Patterson Twp (Blackhawk SD)
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nPennsylvania-Bridgeport Boro
nPennsylvania-Harris Twp
nPennsylvania-Newton Twp (Bucks)
nPennsylvania-Murrysville Boro
nOhio-Indian Hill
nOhio-LaGrange
nOhio-Kettering
nPennsylvania-Seven Fields
nPennsylvania-Cornwall Boro
nPennsylvania-Windsor Twp (Berks)
nWisconsin
nPennsylvania-Chester Heights Boro
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nKentucky-City of Versailles (Woodford County)
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nKentucky-Scott County
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nPennsylvania-Pennsbury Village Boro
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nOhio-Brecksville
nOhio-Wyoming
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nOhio-Johnstown Village
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nPennsylvania-Carlisle Boro
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nPennsylvania-Upper Uwchlan Twp (Downingtown Area SD)
nPennsylvania-Radnor Twp
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nPennsylvania-Evans City Boro
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nIndiana-Hendricks County
nPennsylvania-Perkiomen Twp
nPennsylvania-Manor Twp (Armstrong)
nNew Jersey
nOhio-Pickerington
nPennsylvania-Shaler Twp
nPennsylvania-Upper Macungie Twp
nFull time
nJR-
nHuron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
nHealth systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
nJoining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
nJoin our team as the expert you are now and create your future.
nHuron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
nHealth systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
nJoining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
nThe Coding Auditor - ambulatory/professional coding/profee will be responsible for auditing of coders and coding auditors to ensure coding accuracy standards are met. This role requires frequent and effective communication via phone, email, and instant messaging with various client teams and payers.
nThe Coding Auditor - ambulatory/professional coding/profee will report to the Huron Managed Services Domestic Coding team.
nKEY RESPONSIBILITES:
nKnows, understands, incorporates, and demonstrates Huron's Vision, and Values in behaviors, practices, and decisions.
nCoding Auditor
nResponsible for the auditing of coders and/or "audit the auditors" to ensure coding accuracy of a minimum of 95% is met.
nPerform quality checks/audits on visits coded as per client SOPs.
nPerform calibration audits.
nSuggest improvements and schedule calibration sessions with offshore team counterparts and leaders.
nMay assist in preparing audit reports, share direct feedback to coders and auditors on areas of opportunity, participate in client interactions and internal stakeholder meetings.
nFirm understanding of the clinical documentation guidelines.
nMonitor compliance of coding guidelines and ensure errors are identified during audits are corrected as appropriate, and corrective action is initiated before the claim is rebilled to the insurance.
nConduct analysis and present summary of findings to leadership in a clear, concise, convincing, and actionable format.
nUtilizes encoder software applications, which includes all applicable online tools and references.
nAssigns appropriate code(s) by utilizing coding guidelines established by:
nThe Centers for Disease Control (CDC), ICD-CM Official Coding Guidelines for Coding and Reporting, Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Guidelines for Coding and Reporting
nAmerican Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification
nThe American Medical Association (AMA) for CPT codes and CPT Assistant
nAmerican Health Information Management Association (AHIMA) Standards of Ethical Coding
nClient coding procedures and guidelines
nNavigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes.
nMeets the productivity standards for coding auditing - as per the productivity norms specific to ambulatory coding standards.
nMaintains a high degree of professional and ethical standards.
nFocuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences.
nMaintains CEUs as appropriate for coding credentials as required by credentialing associations.
nMaintains current knowledge of changes in ambulatory/professional coding/profee coding and reimbursement guidelines and regulations.
nEnsure patient information is correct and appropriate signatures are on all medical records.
nDemonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.
nUtilizes EMR communication tools to track missing documentation or ambulatory queries that require follow-up to facilitate coding in a timely fashion.
nWorks with HIM and Patient Financial Services (PFS) teams, when needed, to help resolve billing, claims, denial and appeals issues affecting reimbursement.
nIdentifies, and attempts to problem solve, coding and/or EMR workflow issues that can impact coding.
nExhibits awareness of health record documentation or other coding ethics concerns.
nNotifies appropriate leadership for assistance, resolution when appropriate.
nMaintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, Code of Ethics, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical and professional behavior.
nMy require abstracting of additional data elements.
nPerform other duties as assigned.
nCORE QUALIFICATIONS:
nCurrent permanent United States Work Authorization required
nWorking in the United States Day shift schedule required
nExperience in coding specialties such as E&M, Oncology, Acute, Ambulatory, Cardiology, Radiology, Pathology, Anesthesia, Emergency Room, Surgery, and others
n2+ years previous experience as a professional/profee/ambulatory coding auditor
n3+ years of experience coding professional/profee/ambulatory accounts
nAdvanced proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, Visio, SharePoint)
nAnalytical skills (problem solving, quantitative, workflow process, etc.)
nAbility to pay close attention to details; strong follow-up and follow-through skills
nExcellent time management skills; organized; ability to prioritize completing multiple tasks on schedule in a deadline driven environment
nRequires the use of independent judgement, discretion and decision-making abilities
nAbility to interact with internal and external customers in a professional manner
nAbility to ramp up on a client's environment, processes, historical context, and systems to provide support to an engagement as soon as possible
nFinancial acumen and analytical skills are required
nExperience working with data from various sources preferred
nFamiliarity with revenue cycle systems, deep understanding of revenue cycle process flow and financial analysis
nDesire to work as part of a team in a partnership role
nStrong oral and written communication skills, analytical skills, ability to work independently, and be self-motivated are required
nFlexible and adaptable to change
nPHYSICAL DEMANDS:
nThis role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time.
nTECHNICAL QUALIFICATIONS:
nRequired Certifications:
nCertified Professional Coder (CPC) through AAPC
nPreferred Certifications:
nAAPC CPMA (Certified Professional Medical Auditor)
nRegistered Health Information Administrator (RHIA) preferred
nEncoder experience (3M/Solventum, Encoder Pro, Codify) preferred
nEpic experience preferred
nCerner experience preferred
nMeditech experience preferred
nKey Performance Indicators (KPIs) - Expectations
nCoding Auditing Productivity: = 95%
nCoding Auditing Accuracy: = 95%
nThe estimated pay range for this job is $26.44 - $52.40 per hour. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. The job is also eligible to participate in Huron's benefit plans which include medical, dental and vision coverage and other wellness programs.
nPosition Level
nAnalyst
nCountry
nUnited States of America
nAt Huron, we're redefining what a consulting organization can be. We go beyond advice to deliver results that last. We inherit our client's challenges as if they were our own. We help them transform for the future. We advocate. We make a difference. And we intelligently, passionately, relentlessly do great work...together.
nAre you the kind of person who stands ready to jump in, roll up your sleeves and transform ideas into action? Then come discover Huron.
nWhether you have years of experience or come right out of college, we invite you to explore our many opportunities. Find out how you can use your talents and develop your skills to make an impact immediately. Learn about how our culture and values provide you with the kind of environment that invites new ideas and innovation. Come see how we collaborate with each other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to make a difference in partnership with our clients, shareholders, communities and colleagues.
nHuron Consulting Group offers a competitive compensation and benefits package including medical, dental, and vision coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous Paid Time Off policy; and paid parental leave and adoption assistance. Our Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year. All benefits and programs are subject to applicable eligibility requirements.
nHuron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We endeavor to maintain a drug-free workplace.
Coding Auditor - Ambulatory/Professional Coding/Profee in cuyahoga falls at Unknown Company
This position is listed as full time and able to be worked remotely.