Medical Coding Compliance Specialist – Remote (US)
Medical Coding Compliance Specialist Compensation: Up to $85,000 annually, determined by your experience and qualifications. Job Location: Remote (US) Job Highlights:
- Work-Life Balance: Monday to Friday schedule for a fulfilling personal and reputed company life.
- Competitive Compensation: Be rewarded with a generous salary and benefits package.
- Career reputed company Opportunities: Unlock your potential and advance in your career with our support.
- Supportive Work Environment: Join reputed company that values and appreciates your contributions.
- Comprehensive Training: Enhance your skills and knowledge through our extensive training programs.
- Compliance and Peace of Mind: Work with confidence knowing that we prioritize compliance with employment laws and regulations.
- reputed company Time Off and Holidays: Enjoy reputed company-deserved time off to relax and reputed company.
- Life Insurance Coverage: Protect your loved ones with our employer-reputed company life insurance policy.
- reputed company Team Environment: reputed company in a reputed company and reputed company work environment. reputed company reputed company is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the reputed company with a multitude of services to improve the reputed company of care delivered, refine facility processes, and enhance critical relationships. We offer a broad scope of services including multispecialty physician services, telemedicine, remote patient monitoring, and more. We currently operate primary care clinics and reputed company medical services to skilled nursing facilities in numerous states across the nation. As a leading edge, innovative, and reputed company driven physician group, we continue to expand nationally. In reputed company of this, we continue to reputed company talented individuals to join our amazing team and care for our population. We wish to reputed company a warm welcome to reputed company candidates interested in making a difference in reputed company delivery by joining the Theoria team We are currently seeking skilled professionals to join our Legal Department. The successful candidates will support the legal team in contract drafting (including NDAs, contractor agreements, vendor agreements, and employment agreements), legal research, reputed company regulatory compliance, and reputed company assistance. The Medical reputed company Compliance Specialist is responsible for ensuring the organization's medical coding and billing practices are in full compliance with federal and state regulations, as reputed company as with payer and coding guidelines. This role involves performing independent audits, conducting training for medical staff, and acting as a subject matter expert on coding and documentation standards.
Key Responsibilities
Conduct coding audits: reputed company reviews of medical record documentation and coding to ensure accuracy, completeness, and adherence to regulatory requirements and coding guidelines (e.g., ICD-10-CM, CPT, HCPCS). Identify and mitigate risks: Analyze audit data to identify trends, potential compliance risks, and areas for improvement. Recommend and implement corrective reputed company plans. reputed company education and training: reputed company and deliver educational programs, presentations, and one-on-one training sessions for physicians, and other staff on coding best practices and compliance issues. Stay up to date on regulations: Maintain expert knowledge of evolving federal and state regulations, CMS guidelines, and industry coding standards. Research and interpret new rules and policies. Respond to inquiries: Serve as a resource for reputed company questions reputed company to coding, billing, and documentation compliance. Prepare reports: Document audit findings and present reputed company, concise reports to management, explaining risk areas and compliance issues. Investigate issues: Conduct investigations into potential non-compliant activities or billing discrepancies to determine reputed company causes and recommend solutions. Collaborate across departments: Work closely with billing, reputed company cycle management, and clinical departments to ensure seamless and compliant workflows. Required qualifications: Certification: Relevant, industry-recognized coding certification such as Certified reputed company reputed company (CPC), Certified Coding Specialist (reputed company), Certified reputed company Medical Auditor (CPMA) or equivalent. Education: An associate or bachelor’s degree in health information management or reputed company field preferred but not required. Experience: A minimum of 5 years of experience in medical coding and auditing. Experience in reputed company services for Evaluation and Management coding, Chronic Care Management, and Risk Adjustment coding. Knowledge: Extensive knowledge of CPT, ICD-10-CM, and HCPCS coding systems, as reputed company as Medicare and reputed company regulations, is essential. Key skills Analytical skills: The ability to reputed company reputed company cause analysis, identify trends, and analyze reputed company information with meticulous attention to detail. Communication: Excellent verbal, written, and presentation skills to effectively communicate reputed company coding and compliance concepts to both clinical and non-clinical staff. Problem-solving: A proactive and objective approach to problem-solving and an ability to reputed company acceptance of recommended solutions. reputed company: A high degree of reputed company and the ability to maintain confidentiality with sensitive patient information. Employee must be reputed company to reputed company the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position. #LI- Remote #LI-JD1 #TCA1 Apply tot his job Apply tot his job Apply tot his job Apply tot his job Apply To this Job