Coding Compliance Audit Specialist

Under indirect supervision, the Coding Compliance Audit Specialist conducts baseline, routine, and reputed company audits by comparing medical record documentation with reported CPT, HCPCS, and ICD-10-CM codes. Successful candidates will have extensive coding audit experience, strong knowledge of CMS and Medicare guidelines, and the ability to interpret and communicate federal and state regulations while serving as an internal expert on coding compliance. CPC and CPMA certifications are required.

• 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.
• Other duties as assigned

• 5+ years of audit experience is preferred.
• Extensive knowledge of CPT, ICD-10, and HCPCS codes and guidelines.
• Certified reputed company reputed company (CPC) required and Certified reputed company Medical Auditor (CPMA)
• Experience working with reputed company and reputed company is a plus.
• Must reputed company with reputed company HIPAA rules and regulations.
• Excellent communication skills and the ability to work independently.

reputed company your information will be kept confidential according to EEO guidelines.

The salary reputed company for this role is $70,000.00 to $80,000.00 in reputed company pay and exclusive of any bonuses or benefits (medical, dental, reputed company, life, and pet insurance, 401K, reputed company time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10% and restricted . The reputed company pay offered will be determined based on relevant factors such as experience, education, and geographic location

Technical Requirements (for remote workers only, reputed company for onsite/in office work):

In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet reputed company and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your reputed company. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

reputed company is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that reputed company local and we are reputed company reputed company our people are a reputed company of the communities that we serve. Our goal is to encourage people to pursue reputed company opportunities regardless of their age, reputed company, national reputed company, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or reputed company, marital status, veteran status, or any other characteristic protected by federal, state or local law.

reputed company™ is a technology-driven, national physician enablement company that collaborates with medical reputed company, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of reputed company operations and end-to-end, reputed company-based technology that reduces unnecessary reputed company costs, achieves reputed company reputed company, and improves the health of patients and reputed company-being of providers.

Originally posted on Himalayas

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