Coding Compliance Auditor, Educator

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

📋 Description

• Perform independent audits on professional fee coding.

• Examine medical record documentation to confirm that the codes selected by clinicians are substantiated.

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

• Prepare and convey precise audit findings to physicians and charge review personnel.

• Reference authoritative coding and compliance resources within audit findings.

• Facilitate meetings with providers to discuss audit results and propose enhancements.

• Investigate coding and compliance concerns.

• Address coding questions from providers and coding staff.

• Arrange meetings with providers.

• Assist in the development and updating of coding reference materials and presentations.

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

• Engage in professional development and sustain relevant certifications.

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

• Keep accurate records of time allocated to assignments.

⛳️ Requirements

• Associate's Degree from an accredited institution is required, or equivalent experience in lieu of an associate degree.

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

• Certified Professional Coder certification is mandatory.

• Certified Coding Specialist certification is required.

• Certified Professional Medical Auditor (CPMA) certification is preferred at hiring.

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

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

• Ability to effectively communicate complex coding and compliance concepts both verbally and in writing.

• Proficient in public speaking, presentations, and educational activities.

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

• Capability to learn rapidly and work autonomously on intricate issues.

• Exceptional time management skills.

• Ability to adapt to changes, prioritize tasks, and meet deadlines.

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

• Ability to maintain the confidentiality of sensitive information.

• Professional appearance and demeanor when interacting with physicians.

🏝️ Benefits

• Full-time employment.

• Day shift schedule.

• Support for meaningful work.

• A more fulfilling life.