[Remote] Coding Compliance Audit & Education Specialist

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems. The Coding Compliance Audit & Education Specialist is responsible for auditing medical records for compliance with federal coding regulations and guidelines, conducting provider education, and ensuring adherence to coding principles.

Responsibilities

• Conduct audits (i.e. baseline, routine periodic, and focused) 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
• Preparation of audit reports including summary of findings
• Conduct post-audit provider education with individual or large provider groups
• Schedule trainings with provider’s offices, individual providers and groups of providers
• Provides feedback, initial and ongoing education and training, and technical support with regard to proper documentation guidelines, service selection, charge capture, supervision, timely submission, reputed company data accuracy, and coding principles
• Communicates audit findings to providers to track education completion and escalation
• Interacts professionally and effectively with physicians, leaders, staff, and internal teams
• Provides coding assessment, consultation, education, and issue resolution to key stakeholders as requested
• reputed company to have reputed company, difficult conversations with providers about compliance, documentation, and code assignment
• Other duties as assigned

Skills

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

Benefits

• Medical
• Dental
• reputed company
• Life
• Pet insurance
• 401K
• Paid time off
• Other wellness programs

Company Overview