Coding Compliance Auditor, Educator

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November 24

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Wellstar Health System

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Healthcare Insurance

Wellstar Health System is a comprehensive healthcare organization dedicated to providing personalized and compassionate care to patients in Georgia and South Carolina. With a diverse range of career opportunities, Wellstar supports its employees' career growth and wellbeing through a positive culture, excellent benefits, and a focus on diversity, equity, and inclusion. The organization emphasizes the importance of treating both patients and staff with respect and care, making it a sought-after workplace in the healthcare industry. Wellstar is committed to offering high-quality healthcare services and maintaining strong community engagement.

10,000+ employees

Founded 1992

⚕️ Healthcare Insurance

📋 Description

• Under the direction of the Coding Compliance Manager, conducts independent audits of professional fee coding. • Assures appropriate and accurate coding assignments in accordance with federal coding regulations and guidelines. • Prepares written reports of findings and leads meetings with providers to review the audit findings and recommend ways to improve when indicated. • Also responsible for providing assistance with coding inquiries from providers, coding staff, etc. • Performs audits independently. • Creates and communicates clear and accurate audit findings to physicians and charge review staff which include references for authoritative guidance. • Performs research related to compliance and coding issues. • Schedules meetings with providers. • Ensure compliance with coding guidelines. • Assist in creating and updating coding reference materials and presentations as needed. • Communicate with Management regarding trends, issues or assistance needed. • Maintains an accurate record of time spent on all assignments.

🎯 Requirements

• Associate's Degree from an accredited college required or in lieu of associates degree candidate must meet the minimum experience • Minimum 5 years auditing or coding compliance experience in a physician practice • Minimum 7 years coding or billing (Revenue Cycle) experience in a physician or outpatient coding environment • Cert Prof Coder 1.00 Required • Cert Coding Spec 1.00 Required • Certified Professional Medical Auditor CPMA Upon Hire Preferred • High degree of coding accuracy • Extensive knowledge of Medicare regulations, documentation guidelines, and other federal and state laws and regulations concerning clinical documentation, coding, and reimbursement required. • Strong Knowledge of Microsoft Word, Excel, PowerPoint and Outlook is required.

🏖️ Benefits

• Flexible work arrangements • Professional development opportunities