Health care Network.

  • Naples, FL


  • Long-term.

  • Full-time.

Job 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 companies. In addition, obligations consist of education and training of income personnel and/other departments on the companies coding audit functions and regulative requirements. The Coding Compliance Auditor will use a favorable and proactive method when dealing with personnel to promote engagement and higher understanding of the companies coding requirements and requirements to regulative requirements.

Responsibilities and Standards

  • Responsible for administrative responsibilities connected to preparation, scheduling, and carrying out month-to-month audits of all RVU based service providers to ensure precision of medical diagnosis and treatment coding as recorded, to support business compliance.
  • Responsible for guaranteeing the precision of medical diagnosis and treatment coding as recorded, to guarantee precise reporting of services for suitable compensation capture and to support business compliance.
  • Responsible for supplying in-service education to suppliers and medical personnel through official training and quality evaluation of work carried out.
  • Monitors regulative coding compliance concerns and determines locations of dangers utilizing nationwide criteria and patterns.
  • Performance needs a high level of attention to information.
  • May be needed to carry out tasks and duties not noted in this description, on a short-term or long-lasting basis.
  • Research brand-new codes and proposed profits producing treatments to guarantee coding compliance and correct documents.

Job Specifications

  • Efforts are normally responsive to work circulation, should have the ability to work separately and focus on deal with an everyday or weekly basis, based on periodic reprioritization by others
  • Impact of work efficiency might lead to a visible effect in the company and might include management attention.
  • May be needed to carry out the tasks of other staff members, consisting of supervisors/managers, in their lack.
  • May be needed to carry out responsibilities and obligations not noted in this description, on a short-lived or long-lasting basis.

Experience

Education/Training Level:

  • Graduate of qualified coding program, CPC or RHIT or CCS-P or mix
  • At least 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.
  • Ability to make quality, independent choices, in addition to, the capability to team up successfully with other leaders.
  • Ability to work efficiently and effectively under tight due dates, high volumes and several disruptions.

Licenses and Certifications:

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

Communication Skills:

  • Must have customer support abilities, exceptional phone, composed, grammar and social abilities.

Technology Skills:

  • Proficiency with electronic medical records application.
  • Proficient with Auditing Applications

Coding Skills

  • Expert understanding and efficiency in the following:
  • ICD-10- CM, and CPT/HCPCS coding category systems
  • Official coding standards and coding compliance
  • Knowledge and efficiency in ICD-10 coding category system.
  • Proficiency with Microsoft Office items.
  • Working understanding of medical terms, anatomy and physiology, illness procedures and pharmacology.
  • Knowledge of all elements of the medical record.

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Health care Network.

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