Coding Compliance Auditor, Educator

This is a fully remote position, open to applicants in United States.

📋 Description

• Perform independent audits of professional fee coding and medical record documentation.

• Ensure that coding assignments adhere to federal regulations, guidelines, organizational policies, laws, and professional standards.

• Prepare and present clear, precise written audit findings, supported by authoritative references.

• Facilitate meetings with physicians and providers to discuss findings and suggest enhancements.

• Assist providers and coding staff with coding inquiries.

• Investigate compliance and coding issues.

• Arrange meetings with providers.

• Develop and refresh coding reference materials and presentations.

• Provide training on ICD-10-CM and EMR documentation to physicians.

• Engage in ongoing education and training to uphold compliance with current laws, rules, and regulations.

• Report trends, issues, and support needs to management.

• Keep precise records of time spent on assignments.

⛳️ Requirements

• Associate's Degree from an accredited college is required, or equivalent experience may be accepted in place of an associate's degree.

• Bachelor's Degree from an accredited institution in a healthcare-related field is mandatory.

• At least 5 years of experience in auditing or coding compliance within a physician practice, or a minimum of 7 years in coding or billing (Revenue Cycle) in a physician or outpatient coding environment.

• Certification as a Professional Coder is required.

• Certification as a Coding Specialist is essential.

• Certification as a Professional Medical Auditor (CPMA) is preferred at the time of hire.

• Advanced understanding of CPT, ICD-10-CM, and HCPCS coding systems.

• Familiarity with relevant Medicaid and Medicare regulations.

• Knowledge of physician documentation, coding, and billing across various settings and specialties.

• Extensive knowledge of Medicare regulations, documentation guidelines, and federal and state laws concerning clinical documentation, coding, and reimbursement.

• High level of coding accuracy and meticulous attention to detail.

• Strong verbal and written communication skills to convey complex coding and compliance concepts effectively.

• Proficiency in public speaking, presentations, and educational initiatives.

• Objective and detail-oriented problem-solving skills.

• Ability to learn swiftly and work independently on complex matters.

• Exceptional time management capabilities.

• Flexibility and adaptability in response to change.

• Capability to prioritize tasks and meet deadlines.

• Strong proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.

• Ability to uphold confidentiality of sensitive information.

• Must present a professional appearance and demeanor when interacting with physicians and staff.

🏝️ Benefits

• Support to engage in more meaningful work and lead a more fulfilling life.

• An inclusive culture.

• Opportunities for professional development and training.

• Participation in professional education activities.

• Chance to acquire and maintain relevant certifications.