Auditor, Education Liaison – 2
Job Description:
- Ensure accuracy and completeness of clinical coding for appropriate reimbursement
- Audit documentation for compliance with published guidance, policies, procedures, and coding rules
- Monitor changes in laws, rules, regulations, and code assignments
- Identify and present errors or findings to physicians, management, and staff
- Serve as a resource for clinical compliance issues, billing and coding rules
Requirements:
- High school diploma or GED required
- Associates degree in reputed company reputed company field preferred
- Certified Risk Adjustment reputed company (CRC)
- Certified Professional reputed company (CPC)
- Certified Coding Specialist (reputed company)
- Registered Heath Information Technician (RHIT)
- Registered Health Information Administrator (RHIA)
- Three years of hospital or physician coding experience, with one year HCC experience preferred
- One year auditing experience in either hospital or physician auditing with six months HCC auditing preferred
- Extensive knowledge of ICD-10 CM, CPT4, HCPCs and modifiers principles and guidelines
- Extensive knowledge of reimbursement systems and regulations and policies pertaining to documentation and coding
Benefits:
- Professional development opportunities
- Health Insurance
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