Well Star

Well Star.

  • Atlanta, GA


  • Long-term.

  • Full-time.
Summary

How would you like to operate in a location where your contributions and concepts are valued? A location where you can serve with empathy, pursue quality and honor every voice? At Wellstar, our objective is basic, yet effective: to boost the health and wellness of everyone we serve. We are happy to have actually ended up being a shining example of what’s possible when the brightest specialists commit themselves to making a distinction in the health care market, and in individuals’s lives.

Duties

Under the instructions of the Coding Guarantee Director within Compliance, this position is accountable for carrying out audits of expert service medical records for doctors and clinicians throughout a range of settings and specializeds. The auditor uses a predictive modeling tool to assist target the crucial locations of threat. This special technique to service provider audits enables the auditor to invest their time concentrated on the locations of high worth. The auditor is accountable for preparing and providing documents enhancement feedback to the doctor and personnel making use of PowerPoint, Visio, Excel, or comparable software application. The position is likewise accountable for preparing composed and oral reports to the Director on the outcomes of audit carried out. This position needs a sophisticated understanding of CPT, ICD-10- CM, and HCPCS code sets, understanding of suitable guidelines for Medicaid and Medicare along with the concepts of doctor documents, coding, and billing in a range of settings and specializeds. This position likewise preserves a collective working relationship with the coding, billing, and follow-up personnel.

Credentials

Required Minimum Education

  • Minimum partners degree from a certified college needed or in lieu of partners degree prospect should satisfy the minimum experience

Needed Minimum Experience

  • A minimum of 8 (8) or more years auditing and compliance experience in a scholastic doctor practice needed; or (10) years coding experience in a doctor or outpatient coding environment

Needed Minimum Accreditation

  • A minimum of among the following coding accreditations that need to be existing and in great standing is needed
  • Qualified Expert Coder (CPC) from the American Academy of Specialist Coders
  • Licensed Coding Expert (CCS)
  • Doctor (CCS-P) from the American Health Info Management Association

Needed Minimum Abilities

  • Need to have a sophisticated understanding of medical terms, CPT, ICD-10- CM and HCPCS code sets and stay existing with Medicare, Medicaid and business insurance plan and treatments
  • Substantial experience and understanding of inpatient and outpatient coding, billing and documents requirements in scholastic medical centers
  • Need to have a shown capability to discuss complex coding and compliance ideas to suppliers, personnel and coworkers
  • Need to excel in public speaking and interact well with others using clear and succinct writing and spoken abilities
  • Should work well with little assistance, be arranged and detailed oriented with a high degree of precision
  • Ability in working out effort judgment and decision-making to accomplish organizational goals
  • Should excel with Microsoft item suite particularly PowerPoint, Excel, Visio and Word
  • Advanced understanding of medical records treatments and federal and state laws governing medical records personal privacy and release of info
  • Capability to keep privacy of delicate info
  • Need to provide an expert image to the general public, doctor and the health system

Well Star.

  • Apply Now.