Status Category:
Full-Time
Exempt/Non-Exempt:
Exempt
Scheduled Hours Per Week:
40
Job Code:
FS206
With over 120 offices and nearly 7,000 associates throughout the U.S. CBIZ (NYSE: CBZ) delivers top-level financial and employee business services to organizations of all sizes, as well as individual clients, by providing national-caliber expertise combined with highly personalized service delivered at the local level.
CBIZ is honored to be the recipient of several national recognitions for 2023:
- Best and Brightest Companies to Work for in the Nation
- Top Workplaces USA
- Top Workplaces – Financial Services Industry
- Best and Brightest Companies in Wellness
- Great Place to Work Certification
CBIZ KA Consulting Services, LLC (CBIZ), a leader in providing customized financial solutions to healthcare providers, is expanding its credentialed staff to perform coding support and review.
Job Description
CBIZ is seeking a skilled and experienced Professional Auditor/Consultant to join our team. The ideal candidate will possess in-depth knowledge of physician medical coding and billing processes. They will be responsible for conducting audits, including evaluation and management (E/M), to ensure compliance with coding guidelines, documentation requirements, and regulatory standards.
- Conduct audits of medical records, claims, and billing processes to ensure accuracy, completeness, and compliance with coding guidelines and regulatory requirements, including evaluation and management (E/M) code audits.
- Review documentation to determine appropriate code assignment based on diagnosis, procedures, and services rendered.
- Analyze coding and billing trends to identify potential areas of risk or non-compliance.
- Provide education and training to coding and billing staff on coding guidelines, documentation requirements, and regulatory changes.
- Collaborate with cross-functional teams to develop and implement corrective actions to address audit findings and improve performance.
- Serve as a subject matter expert on coding and documentation issues, providing guidance and support to physicians, clinicians, and other stakeholders as needed.
Preferred Qualifications
- Current certification in medical coding (e.g., CPMA, CPC, CCS, CCS-P) required.
- 2+ years’ experience in medical coding and billing, preferably in a healthcare setting.
- Be able to work in a team environment.
- Excellent verbal, written and communication skills.
- Extensive knowledge of ICD-10-CM and CPT coding conventions, anatomy and physiology, and medical terminology is a plus.
- Excellent knowledge of Medicare, Medicaid, and third-party payer regulations and reimbursement methodologies.
- Experience in conducting professional audits, including evaluation and management (E/M), and the ability to analyze coding and billing data.
- Proficiency in using coding software and electronic health record (EHR) systems.
- Strong analytical, critical thinking, and problem-solving skills.
- Effective communication and interpersonal skills, with the ability to collaborate and communicate complex coding and billing concepts to diverse audiences.
- Detail-oriented with a commitment to accuracy and compliance.
- Be reliable, self-directed, self-motivated, and able to work in a fast-paced environment.
Minimum Qualifications
- High School Diploma or GED
- 1 year of relevant experience
- Must be able to work in a team environment
- Demonstrated ability to communicate verbally and in writing throughout all levels of organization, both internally and externally
- Proficient use of applicable technology
- Must be able to travel based on client and business needs
CBIZ.Jobs Category: Benefits & Insurance
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