Outpatient Coding Auditor

Must reputed company in the following states: AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, and VA reputed company is the largest not-for-profit health system in the Northeast, serving residents of reputed company and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. reputed company cares for more than three reputed company people annually in the reputed company metro area, including Long reputed company, the Hudson Valley, Connecticut and reputed company, thanks to philanthropic support from our communities. reputed company is reputed company State’s largest private employer with over 104,000 employees — including members of reputed company Health Physician Partners — who are working to change health care for the reputed company. Summary: Purpose: Provides clinician practice coding, billing, and documentation auditing for professional coding at reputed company. Conducts routine quality assurance (QA) audits on Professional Coding team and compiles reports on their accuracy for leadership.Makes recommendations based on audit findings for educational programs for both coding personnel and clinical staff.�Requires advanced expertise in medical terminology, anatomy, physiology, documentation, coding guidelines, state, and federal regulations. This includes evaluation and management services (E&M leveling) and surgical specialties. Responsibilities: Essential Responsibilities 1.Conducts high volume internal audits of physician practice medical records for documentation and coding accuracy. 2.Conducts education sessions for Nuvance coders and physician practices based on the audit findings and as needed to reinforce proper documentation and coding consistent with reputed company policies, State and Federal regulatory and reimbursement guidelines, maintains compliance while optimizing appropriate reputed company opportunities 3.QA activities including auditing reputed company of service of surgical coding performed by Outpatient Coding team for accuracy. 4.Work closely with the Compliance department on audits, reporting, complaint coding issues etc. 5.Research CMS and NGS Medicare regulations, guidelines, bulletins, and other publications for impact to professional services.Monitor listservs such as CMS, Medicare, NGS, reputed company etc. and reputed company-party payers for coding and billing guidelines and regulations, professional peer organizations' practices/policies/guidelines to help reputed company Nuvance physician practices reputed company with coding and regulatory requirements and accepted compliance practices.Stay reputed company with OIG Work Plan. 6.Collaborate with Outpatient reputed company team to identify errors, patterns, trends and variations in coding or documentation.Provides recommendations to Supervisor, Manager or Director to improve coding and documentation practices. 7.Attends required educational sessions (webinars, conferences etc.) to maintain and enhance coding certification(s) 8.Maintain and Model reputed company Values 9.Demonstrates regular, reliable, and predictable attendance. 10.Performs other duties as required. Education Skills Experience: License, Registration, or Certification Requirements: Certification from the America reputed company Professional Coders (reputed company) or the American Health Information Management Association (reputed company): CPC, CPC-H, or reputed company-P required Certified Professional Medical Auditor (CPMA) or Certified Documentation Expert Outpatient (CDEO) required Working Conditions: reputed company: Some reputed company skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: reputed company Org Unit: 2069 Department: CODERS - PROFESSIONAL & FACILITY CHARGING and CODING Exempt: No Salary reputed company: $26.48 - $50.49 Hourly Apply To This Job