Coding Education and Quality Auditor
Northeast Georgia Health System
full-time
Posted on:
Location Type: Hybrid
Location: Oakwood • United States
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About the role
- Conduct coding/billing/documentation audits of all NGPG/NGHS Providers
- Determine organizational integrity of coding/billing for professional services
- Detect and correct documentation, coding and billing errors
- Evaluate the adequacy and accuracy of documentation to support services billed including ICD-9/ICD10/CPT/HCSPCS
- Ensure the medical necessity of services, compliance with documentation, coding and billing standards
- Apply standardized audit scoring methodology to evaluate consistency of documentation and coding
- Communicate audit results to physicians and staff
- Provide physician and coder education
- Make recommendations to management for corrective action
- Serve as a subject matter expert on documentation and coding rules and regulations
Requirements
- Licensure or other certifications: CPC and/or CCS-P Coding Certification
- CPMA, CEMC or other Nationally recognized healthcare auditing certification required at hire, or required to obtain within 6 months of hire.
- High School Diploma or GED.
- Minimum three (3) years experience coding and/or auditing Multi-Specialty records required; Medical Terminology or Anatomy course required.
- Demonstrated experience in conducting education to providers and large audiences required.
- Detailed knowledge of ICD-9, ICD-10, CPT and HCPCS coding principles and medical terminology
- In-depth knowledge of best practice coding policy and procedures
- Highly skilled proficiency with Microsoft Office products, advanced proficiency in Excel and Powerpoint
- Ability to communicate (both verbally and written) technical coding information to both technical and non-technical audiences
- Ability to organize data and provide detailed reporting
- Ability to prepare presentations and present to large or small audiences
- Must be highly motivated, organized, and a detail oriented individual
- Excellent communication (written, verbal and presentation) and people-facing skills
- Strong analytical and interpersonal skills
- Ability to be a self starter/work independently and as a team player
- Ability to travel to NGHS/NGPG sites on a regular bases
- Understanding of current regulatory and third party requirements
- Accuracy and attention to detail required
- Establishes and maintains positive peer, leadership and customer relationships, interacting positively and productively with teams across organizational lines.
- Positive work ethic with proactive and team oriented style
- Must posses a confident, friendly demeanor
Benefits
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Applicant Tracking System Keywords
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Hard Skills & Tools
coding auditsbilling auditsdocumentation auditsICD-9 codingICD-10 codingCPT codingHCPCS codingmedical terminologydata organizationreporting
Soft Skills
communication skillsanalytical skillsinterpersonal skillspresentation skillsorganizational skillsdetail orientedself-starterteam playermotivatedpositive work ethic
Certifications
CPCCCS-PCPMACEMC