Coding Validator

Job not on LinkedIn

🕒 4 days ago

⚓ Rhode Island – Remote

⚓ Rhode Island – Remote

💵 $29 - $48 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Brown Medicine

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1995

🏥 Healthcare

📚 Education

🔬 Science

Healthcare • Education • Science

Brown Medicine is a medical practice group that has joined Brown Health Medical Group, providing integrated outpatient and specialty care across a network of providers under a single electronic health record. It offers patient-facing services such as primary and specialty care, televisits, and online patient portals (transitioning to MyChart), as well as administrative and billing support, and is affiliated with Brown University Health and the Warren Alpert Medical School.

📋 Description

• Audit professional ambulatory medical records for a multispecialty provider organization to ensure billed codes are supported by documentation • Review diagnoses, procedures, and modifiers assigned by coders and record outcomes • Share coder audit results with Validation Team Leadership for feedback to coders • Review diagnoses and procedures assigned by providers and record outcomes • Share provider audit results with Validation Team Leadership for feedback to providers and provider leadership • Monitor coding and documentation guidelines, compliance policies, annual coding updates, payer policies, and industry changes • Identify coding and documentation trends that may pose compliance or revenue risks and report them to management • Recommend improvements to Epic documentation templates • Work with practices/clinics, providers, coding, compliance, risk management, contracting, and payers • Prepare training materials and provide education as needed • Perform other duties as assigned

🎯 Requirements

• Successful completion of a coding certification program (CPC) • Five years of coding experience, preferably in a large academic multispecialty organization • Knowledge of teaching physician regulations, including incident to, split shared, and attestation requirements • Understanding of medical-record content • Training in medical terminology, medical science, anatomy, and physiology • Ability to recognize and understand clinical documentation pertinent to coding • Good writing skills to communicate coding/documentation issues clearly • Computer literacy and ability to research websites for regulatory requirements • Ability to navigate the patient electronic medical record • Excellent written and oral communication skills • Proficiency in Microsoft Word, Excel, and other computer applications • Past auditing experience or a strong coding background preferred • Ability to work independently within departmental policies and procedures • Complex problems referred to a supervisor when policy clarification is required • No supervisory responsibility

🏖️ Benefits

• Equal employment opportunity • Work environment free from unlawful discrimination and harassment • Respectful, inclusive, and equitable environment • Support for the holistic well-being of employees and their families • Day shift, Monday–Friday schedule