Health care Network.

  • Naples, FL


  • Irreversible.

  • Full-time.
Task Summary

Under basic guidance, the Coding Compliance Auditor will help the Director of Coding Compliance in advancement of a RVU and trend-based coding audit program. Coding Compliance Auditor will carry out month-to-month audits of all RVU based medical suppliers. In addition, duties consist of education and training of earnings personnel and/other departments on the companies coding audit functions and regulative requirements. The Coding Compliance Auditor will make use of a favorable and proactive technique when dealing with personnel to promote engagement and higher understanding of the companies coding requirements and requirements to regulative requirements.

Duties and Standards

  • Accountable for administrative tasks associated with preparation, scheduling, and performing month-to-month audits of all RVU based service providers to guarantee precision of medical diagnosis and treatment coding as recorded, to support business compliance.
  • Accountable for ensuring the precision of medical diagnosis and treatment coding as recorded, to guarantee precise reporting of services for proper repayment capture and to support business compliance.
  • Accountable for supplying in-service education to suppliers and medical personnel through official training and quality evaluation of work carried out.
  • Keeps an eye on regulative coding compliance problems and determines locations of threats utilizing nationwide standards and patterns.
  • Efficiency needs a high level of attention to information.
  • Might be needed to carry out responsibilities and duties not noted in this description, on a momentary or long-lasting basis.
  • Research study brand-new codes and proposed earnings producing treatments to ensure coding compliance and correct paperwork.

Task Specs

  • Efforts are typically responsive to work circulation, need to have the ability to work individually and focus on deal with an everyday or weekly basis, based on periodic reprioritization by others
  • Effect of work efficiency might lead to an obvious effect in the company and might include management attention.
  • Might be needed to carry out the tasks of other workers, consisting of supervisors/managers, in their lack.
  • Might be needed to carry out tasks and duties not noted in this description, on a momentary or long-lasting basis.

Experience

Education/Training Level:

  • Graduate of licensed coding program, CPC or RHIT or CCS-P or mix
  • A minimum of one (3) year of progressive Medicare Coding
  • Excellent composed, spoken interaction and social abilities, along with, time management and organizational abilities.
  • Self-directed with the capability to deal with numerous stakeholders and groups.
  • Capability to make quality, independent choices, in addition to, the capability to work together successfully with other leaders.
  • Capability to work successfully and effectively under tight due dates, high volumes and several disruptions.

Licenses and Accreditations:

  • Required Coding Accreditation (CCS-P or CPC through AHIMA/AAPC)
  • Licensed Specialist Medical Auditor (CPMA) needed within one year of work.

Interaction Abilities:

  • Need to have client service abilities, exceptional phone, composed, grammar and social abilities.

Innovation Abilities:

  • Efficiency with electronic medical records application.
  • Skilled with Auditing Applications

Coding Abilities

  • Specialist understanding and efficiency in the following:
  • ICD-10- CM, and CPT/HCPCS coding category systems
  • Authorities coding standards and coding compliance
  • Understanding and efficiency in ICD-10 coding category system.
  • Efficiency with Microsoft Workplace items.
  • Working understanding of medical terms, anatomy and physiology, illness procedures and pharmacology.
  • Understanding of all parts of the medical record.

Health care Network.

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