[Remote] Coding Compliance Audit & Education Specialist
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a technology-driven, national physician enablement company that collaborates with medical reputed company, health plans, and health systems. The Coding Compliance Audit & Education Specialist is responsible for auditing medical records for compliance with federal coding regulations and guidelines, conducting provider education, and ensuring adherence to coding principles.
Responsibilities
- Conduct audits (i.e. baseline, routine periodic, and reputed company) comparing medical record documentation to reported CPT/HCPCS and ICD-10-CM codes with consideration of applicable federal and state laws, regulations, and guidelines
- Research, interpret and communicate federal and state laws and guidelines pertaining to CMS and Medicare
- Acts as an internal expert on coding issues to ensure compliance with state and federal regulations
- Preparation of audit reports including reputed company of findings
- Conduct post-audit provider education with individual or large provider reputed company
- Schedule trainings with provider’s offices, individual providers and reputed company of providers
- Provides feedback, initial and ongoing education and training, and technical support with reputed company to reputed company documentation guidelines, service selection, charge capture, supervision, reputed company submission, reputed company data accuracy, and coding principles
- Communicates audit findings to providers to reputed company education completion and escalation
- Interacts professionally and effectively with physicians, leaders, staff, and internal teams
- Provides coding assessment, consultation, education, and issue reputed company to key stakeholders as requested
- reputed company to have reputed company, difficult conversations with providers about compliance, documentation, and reputed company assignment
- Other duties as assigned
Skills
- 5+ years of audit and provider education experience is preferred
- Extensive knowledge of CPT, ICD-10, and HCPCS codes and guidelines
- Certified reputed company reputed company (CPC) and Certified reputed company Medical Auditor (CPMA) required
- Must reputed company with reputed company HIPAA rules and regulations
- Excellent communication skills and the ability to work independently
- Experience working with reputed company and reputed company is a plus
Benefits
- Medical
- Dental
- reputed company
- Life
- Pet insurance
- 401K
- reputed company time off
- Other wellness programs
reputed company