Physician Coding Auditor
Ensemble Health Partners
full-time
Posted on:
Location Type: Remote
Location: Pennsylvania • Tennessee • United States
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Salary
💰 $57,400 - $99,000 per year
About the role
- Develops and implements strategic needs analyses and training plans for coding leadership
- Coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW
- Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures
- Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts
- Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards
- Monitors and audits inpatient and outpatient accounts across the system
- Assesses the educational needs of coding staff and providers and develops programs or researches educational resources to meet those needs
- Assists with edits, denials and appeals, as well as training new and existing staff
- Coordinates the presentation of ongoing professional seminars and materials via audio-conferences, webinars, and other publications
- Provides reports of audit findings to coding management, individual coders and leadership as needed/requested
Requirements
- 5+ years of coding experience
- 3+ years of auditing experience
- Proficiency in multiple EMR’s, encoders, and the Microsoft Office suite
- Educated in HIPAA regulations; must maintain strict confidentiality of patient and client information
- Consistently achieves quality and productivity standards
- Ability to organize and complete work in a timely manner
- Ability to read, write and effectively communicate in English
- Ability to understand medical/surgical terminology
- Above average written and verbal communication skills
- Position may require 20-40% travel to client sites
- Minimum Education: Associates Degree or Equivalent Experience
- Required Certifications: Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA or CCS Preferred): CPC (Certified Professional Coder) CCS-P (Certified Coding Specialist-Phys Based) CCS (Certified Coding Specialist) CMPA (Certified Professional Medical Auditor) RHIA (Registered Health Information Administrator) RHIT (Registered Health Information Technician)
Benefits
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
coding experienceauditing experiencemedical/surgical terminologyquality assurancecurriculum developmenttraining program developmentperformance reviewscompliance with professional coding standardsediting and appealsreporting audit findings
Soft Skills
leadershipguidanceorganizational skillstimely work completioneffective communicationwritten communicationverbal communicationinterpersonal skillspresentation skillseducational needs assessment
Certifications
CPCCPMACCSCCS-PCMPARHIARHIT