Compliance Educator

Vaga não está no LinkedIn

🕒 Setembro 29

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $70.000 - $85.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🚔 Conformidade

🦅 Patrocina Visto H1B

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Sound Physicians

SiteLinkedInTodas as Vagas

5001 - 10000 funcionários

Fundada em 2001

🏥 Saúde

🤝 B2B

Healthcare • B2B

A Sound Physicians é uma empresa de serviços de saúde liderada por médicos que faz parcerias com hospitais e sistemas de saúde para oferecer programas clínicos especializados, incluindo medicina de emergência, medicina hospitalar, cuidados críticos (incluindo tele-UTI), anestesia e cuidados responsáveis para ambientes de vida assistida e de longo prazo. A empresa combina liderança clínica, otimização operacional e suporte ao ciclo de receita para melhorar os resultados dos pacientes, estabilizar as operações hospitalares e maximizar o desempenho financeiro por meio de modelos de atendimento personalizados, presenciais e virtuais.

Descrição

• Develop and deliver coding, documentation, and compliance education to providers and clinical leadership across assigned service lines • Translate audit findings, coding trends, regulatory changes, and identified risk areas into clear, practical education and guidance • Respond to provider and clinical leadership questions regarding coding, documentation, billing, and compliance requirements • Research, interpret, and apply authoritative coding and regulatory guidance, including CPT, ICD-10-CM, HCPCS, modifiers, CMS requirements, and applicable federal and state regulations • Create and maintain educational materials, presentations, job aids, tip sheets, and other resources • Prepare for and facilitate provider, site, and clinical leadership education sessions • Partner with Compliance Audit to review audit findings, identify recurring trends, and determine education priorities • Analyze audit and monitoring results to identify patterns, variations, emerging risks, and targeted education opportunities • Support standardized education content across providers, sites, and service lines • Collaborate with Compliance Audit, clinical leadership, Revenue Cycle, and other stakeholders to address concerns and support corrective actions • Maintain current knowledge through continuing education and professional development • Exercise independent judgment when addressing complex or sensitive coding and compliance matters • Participate in department projects, process improvement initiatives, and other compliance activities • Perform other duties as assigned

🎯 Requisitos

• Active coding credential such as CPC, CCS, CCS-P, COC, RHIT, RHIA, or comparable credential required • Minimum of 3 years of progressive professional coding compliance auditing or provider education experience required • Experience researching and applying CMS and other authoritative coding and documentation guidance required • Advanced knowledge of CPT, ICD-10-CM, HCPCS, modifiers, and professional-fee coding • Proficiency with Microsoft 365 applications • Working knowledge of CMS documentation and billing requirements • Ability to research, interpret, and clearly communicate authoritative regulatory and coding guidance • Strong presentation and facilitation skills • Ability to analyze audit data and identify recurring trends and education opportunities • Ability to exercise independent judgment when addressing complex or sensitive provider questions • Ability to manage competing priorities and independently manage assigned provider/site education • Strong written communication and educational-content development skills • Direct experience educating physicians, advanced practice providers, or clinical leadership strongly preferred • Experience developing and presenting coding or compliance education preferred • Bachelor’s degree in healthcare, business, education, or related field preferred; equivalent relevant experience may be considered • Ability to maintain strict confidentiality of patient, provider, proprietary, and other sensitive information

🏖️ Benefícios

• Remote-first culture that values flexibility and collaboration • Opportunities to grow your career while making a real impact • Medical insurance • Dental insurance • Vision insurance • Health care and dependent care flexible spending account • 401(k) retirement savings plan with a company match • Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year • Ten company-paid holidays per year