{"id":2487259,"url":"https://alion.io/job/sageclinicalrcm-professional-fee-auditor-profee","title":"Professional Fee Auditor (ProFee)","company":{"id":4420836,"name":"Sage Clinical RCM","domain":"sageclinicalrcm.com","url":"https://alion.io/company/sageclinicalrcm","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Paylocity","truth_index":null},"role":"Finance","role_family":"Finance","seniority":"senior","employment_type":null,"work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"inferred_payroll_markers","remote_working_hours":null,"hiring_geo_confidence":"inferred","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":null,"salary_estimate":{"min_usd":77000,"max_usd":155000,"period":"year","method":"global_role_seniority_cell","sample_n":7681},"experience_years_min":7,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"closed","first_seen_at":"2026-08-28T21:21:24Z","employer_posted_date":"2026-10-14","last_verified_at":"2026-10-31T21:19:21Z","board_verified":false,"closed_at":"2026-10-31T21:19:21Z","days_open":63,"trust":{"level":"not_scored","repost_count":null,"flags":[],"days_open":63},"description":"Description\nRole Summary\nResponsible for reviewing professional fee (ProFee) physician coding to validate accuracy, compliance, and documentation support. This role identifies risks, ensures coding consistency, and provides clear feedback to improve overall coding quality.\nCore Responsibilities\nPerform retrospective and/or concurrent audits of professional fee coding. \nValidate CPT, HCPCS, ICD-10-CM code selection, and modifier usage. \nFollow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies. \nIdentify trends, risks, and opportunities for coding improvement. \nProvide clear, actionable audit feedback and education to coding staff. \nMaintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. \nRequirements\nMinimum Qualifications\n Credentials: CPC, CPMA, CCS, RHIA, or RHIT (active). \n Experience: Minimum 3+ years professional fee auditing experience and at least 2 years of auditing experience. In lieu of auditing experience, 7+ years of coding experience is required. Prior coding experience strongly preferred. Experience auditing physician services (hospital-based or large practice preferred physician services preferred). \nSkills & Knowledge: Strong knowledge of RVU and CPT/HCPCS, ICD-10-CM, modifiers, and NCCI edits. Strong written communication skills and high attention to detail. \nClient & Specialty Alignments\nSurgical Specialties: Requires deep understanding of the CPT surgery section, advanced modifier and NCCI validation, and experience auditing operative documentation. \nMedical & E/M-Based Specialties: Requires expertise in E/M leveling, documentation review, and the ability to assess medical necessity and coding accuracy. \nDiagnostic & Ancillary Specialties: Requires knowledge of professional component coding, modifier use, and experience auditing high-volume, rules-based workflows. \nWork Model & Employment Tracks\nWork Model: 100% remote, independent, quality-focused work environment with collaboration across coding, audit, and client teams. \n Full-Time (FT): Standard production aligned to client or project needs. \nPart-Time / PRN / Project-Based: Flexible support for backlog, specialty coverage, or targeted initiatives. \nNote: Some positions may require evening or weekend coverage based on client needs or project scope. \nWhy Sage Clinical RCM\nNational exposure to diverse, high-acuity health systems and specialties. \nQuality-first culture with realistic expectations (not volume-only). \nFlexible work options (FT, PT, and PRN). \nOpportunity to expand into other audit, education, and advisory services.","description_format":"text","description_chars":2664,"description_truncated":false,"requirements":{"experience_years_min":7,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Flexible schedule"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":[],"lifecycle":[{"event":"open","at":"2026-10-14T00:54:50Z"},{"event":"close","at":"2026-10-31T21:19:21Z"}],"visa":[],"liveness":null,"pay":null,"html_url":"https://alion.io/job/sageclinicalrcm-professional-fee-auditor-profee","json_url":"https://alion.io/job/sageclinicalrcm-professional-fee-auditor-profee.json","meta":{"generated_at":"2026-11-01T09:45:50Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":15084,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-02T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":4420836},"rest":"https://alion.io/mcp/rest/get_company?id=4420836"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fsageclinicalrcm-professional-fee-auditor-profee"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fsageclinicalrcm-professional-fee-auditor-profee"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fsageclinicalrcm-professional-fee-auditor-profee"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/sageclinicalrcm-professional-fee-auditor-profee\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fsageclinicalrcm-professional-fee-auditor-profee"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":2487259}},{"tool":"search_jobs","arguments":{"company":"sageclinicalrcm.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":2487259},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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