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Senior Compliance Coding Auditor
ADPSenior Compliance Coding Auditor conducting billing and coding audits while providing training and education to staff. Supporting compliance policies with government and private payer regulations within a remote setup.
About the role
Key responsibilities & impact- Conduct billing and coding audits, and communicate results and recommendations
- Provide training and education to providers and ancillary staff
- Support the implementation of changes to the CPT, HCPCS and ICD-10 codes
- Conduct prospective and retrospective chart reviews
- Identify coding discrepancies and formulate suggestions for improvement
- Communicate audit results/findings to providers and/or ancillary staff
- Report findings and recommendations to compliance and executive leadership
- Provide continuing education to providers and ancillary staff on CPT/HCPCS and ICD-9/10 coding
- Support compliance policies with government regulations
- Work closely with all departments to assist in accuracy of reported services
- Advise Compliance Officer of government coding and billing guidelines and regulatory updates
- Participate in the development and enhancement of EHR templates
Requirements
What you’ll need- High School Diploma or equivalent with 5 years of experience
- Associate’s Degree (higher degree accepted)
- Certified Professional Coder (CPC®) through AAPC OR Certified Coding Specialist (CCS®) through AHIMA required
- 5 years Experience in a medical office or medical environment
- 5 years Experience in procedural and diagnostic coding
- 5 years Extensive knowledge of current trends in the industry based on Medicare and Texas Medicaid as well as national coding updates
- 5 years Extensive knowledge of Centers for Medicare & Medicaid (CMS) regulations
Benefits
Comp & perks- None specified 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score
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Hard Skills & Tools
Billing AuditsCoding AuditsChart ReviewsCoding Discrepancy IdentificationRegulatory ComplianceEHR Template DevelopmentTraining and EducationGovernment Coding GuidelinesMedicare and Texas Medicaid KnowledgeIndustry Trends Analysis
Soft Skills
CommunicationCollaborationProblem-SolvingAdvisory SkillsLeadership
Certifications
Certified Professional Coder (CPC®)Certified Coding Specialist (CCS®)