Senior Compliance Coding Auditor

Job not on LinkedIn

🕒 4 days ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟠 Senior

🔎 Auditor

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ADP

WebsiteLinkedInAll Job Openings

10,000+ employees

🤝 B2B

👥 HR Tech

☁️ SaaS

B2B • HR Tech • SaaS

ADP is a comprehensive provider of payroll and HR solutions that empower organizations of all types and sizes. With a history spanning over 70 years, ADP offers services such as payroll, time and attendance management, talent acquisition, benefits administration, and compliance solutions. They cater to businesses from small to large, providing adaptable technologies and expert support tailored to meet unique industry challenges.

📋 Description

• Conduct billing and coding audits, and communicate results and recommendations • Provide training and education to providers and ancillary staff • Support the implementation of changes to the CPT, HCPCS and ICD-10 codes • Conduct prospective and retrospective chart reviews • Identify coding discrepancies and formulate suggestions for improvement • Communicate audit results/findings to providers and/or ancillary staff • Report findings and recommendations to compliance and executive leadership • Provide continuing education to providers and ancillary staff on CPT/HCPCS and ICD-9/10 coding • Support compliance policies with government regulations • Work closely with all departments to assist in accuracy of reported services • Advise Compliance Officer of government coding and billing guidelines and regulatory updates • Participate in the development and enhancement of EHR templates

🎯 Requirements

• High School Diploma or equivalent with 5 years of experience • Associate’s Degree (higher degree accepted) • Certified Professional Coder (CPC®) through AAPC OR Certified Coding Specialist (CCS®) through AHIMA required • 5 years Experience in a medical office or medical environment • 5 years Experience in procedural and diagnostic coding • 5 years Extensive knowledge of current trends in the industry based on Medicare and Texas Medicaid as well as national coding updates • 5 years Extensive knowledge of Centers for Medicare & Medicaid (CMS) regulations

🏖️ Benefits

• None specified