Coding and Compliance Specialist

Remote: 
Full Remote
Contract: 
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Offer summary

Qualifications:

High School diploma required; Associate's or Bachelor's degree preferred., CPC or CCS-P coding certification is required., Five years of progressive experience in healthcare billing, coding, and auditing., Strong skills in auditing, training, and basic computer applications like PowerPoint, Excel, and Word..

Key responsabilities:

  • Provide support and training to providers and coders on revenue optimization and coding standards.
  • Conduct compliance audits for provider/coder centers according to established protocols.
  • Coordinate training plans with medical leadership and organize periodic training sessions based on audit results.
  • Monitor changes in coding and state workers' compensation regulations to ensure compliance.

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Job description

MAJOR DUTIES AND RESPONSIBILITIES:

Primary Functions:

  1. Provider/Coder support, education and training related to revenue optimization, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards.
  2. Perform compliance audits for designated provider/coder centers consistent with established audit protocol.
  3. Coordinate with Zone Medical Leadership in development of provider/coder training plans and for active support in the training process.
  4. Organize and schedule periodic training as indicated from audit results, denial and down coding trends, level of service reports, etc. and/or as requested by medical leadership or CBO management.
  5. Monitor Coding and State Workers’ Compensation changes to ensure that most current information is available.
  6. Provide coding support to CBO as requested.
  7. Other duties as may be assigned.



EDUCATION/CREDENTIALS:

High School

Associates degree or Bachelor’s degree or equivalent experience

CPC or CCS-P coding certification Required


JOB RELAVENT EXPERIENCE:

Five years progressive healthcare billing, coding and auditing experience including provider training and presentation.



JOB-RELATED SKILLS/COMPETENCIES:

Auditing

Basic computer skills – PowerPoint, Excel, Word

Strong process management skills

Familiarity with state specific workers’ compensation regulations

Training and presentation skills


Employee Benefits:

  • $2,000 Sign On Bonus
  • We offer an internet service reimbursement
  • Annual certification reimbursement (AAPC or AHIMA)
  • Monthly CEUs (Continuing Education Units) credits.
  • Company issued laptop and two monitors for improved productivity
  • Internal subscriptions for coding manuals, and access to Codify.
  • Healthcare benefits including medical, dental vision – PPO and HMO plans
  • 401k with company match
  • Internal growth opportunities in leadership
  • PTO Accrual


Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Training And Development
  • Basic Internet Skills

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