Health Care

applicants

Salary Open ----- WILL RELOCATE REQUIRED 1. Bachelor's degree or equivalent experience in health care related field. 2. Current Coding certification. 3. Current Auditing certification or obtain within 6 months of hire. 4. 5+ years of coding experience for a multi-specialty group and a score of at least 90% on Coding Competency Test required. 5. 2 years of experience conducting provider education and audits. 6. Demonstrated expertise in current multi-specialty CPT, ICD-9, and HCPC coding principals and practices. JOB SUMMARY: Responsible for achieving and maintaining provider coding accuracy and completeness at the levels required by the yearly Corporate Compliance Work Plan. Works directly and intensively with new providers to educate and monitor their compliance to coding and reimbursement standards and to develop work plans for them to meet requirements. Participates in discussions and decisions regarding individual provider's appropriateness to be on a regular audit cycle vs. a focused review, and any corrective action that may be indicated. Provides feedback to the Compliance Manager and Officer and Chief Medical Officer on risks associated with the compliance of individual providers. Serves in a training capacity with providers and coding staff. Responsible for remaining current on coding and compliance law and guidelines. Serves in a consultant capacity to the Compliance Manager and Compliance Officer regarding potential areas of improvement for the company in meeting the Compliance Plan, and to the CMO on potential improvements in recruiting, coding and auditing of E&M services, and procedures.