Coding Compliance Auditor – Physician Practice
Shirley Ryan AbilityLab
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $47,300 - $78,700 per year
About the role
- Perform audits to assess the quality of documentation, accuracy of charge code assignment and review financial billing statements.
- Assist the compliance officer in assigned projects from internal or external sources.
- Perform assigned Medicaid, Medicare, and other third party payer audits.
- Answer any physician and/or clinic questions and concerns regarding current ICD-10 and CPT guidelines.
- Assist in coding outpatient records as needed.
- Provide coding training and updates for coding staff, physicians and clinics as assigned.
- Assist in coordination of the compilation of data relative to regulatory agencies and the accreditation process.
- Review charge master updates and additions for appropriate current ICD-10 and CPT code assignment.
- Perform all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.
Requirements
- Coding Certification through AHIMA or AAPC for Inpatient or Outpatient coding. (i.e., RHIA, RHIT, CCS, or CCS-P certification) and maintains continuing education requirements.
- Minimum 2 Years of ICD-10 and CPT coding experience and clinical knowledge.
- Knowledge of regulatory, billing, and other coding guidelines.
- Thorough knowledge of related prospective payment systems.
- Auditing skills for coding quality and compliance.
- Advanced computer skills, PC-experience with Windows based applications.
- Interpersonal skills necessary to effectively communicate with other departments, physicians, outside agencies, and key customers.
- Good writing skills to create reports and ability to graphically present audit data.
Benefits
- Shirley Ryan AbilityLab offers a comprehensive benefits program that is competitive with our industry peers in our geographic locations.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10 codingCPT codingauditingcoding trainingcharge code assignmentbilling statements reviewdata compilationprospective payment systemsclinical knowledge
Soft Skills
interpersonal skillscommunication skillswriting skillsorganizational skills
Certifications
RHIARHITCCSCCS-PAHIMA certificationAAPC certification