Coding Compliance Auditor, Educator

🔥 4 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 10%

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Wellstar Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1992

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • 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.

📋 Description

• Conduct independent audits of professional fee coding • Review medical record documentation to verify that clinician-selected codes are supported • Ensure coding assignments comply with federal regulations, guidelines, organizational policies, and professional standards • Prepare and communicate clear, accurate audit findings to physicians and charge review staff • Reference authoritative coding and compliance guidance in audit findings • Lead meetings with providers to review audit findings and recommend improvements • Research coding and compliance issues • Respond to coding inquiries from providers and coding staff • Schedule meetings with providers • Assist in creating and updating coding reference materials and presentations • Provide ICD-10-CM and EMR documentation training to physicians • Pursue professional education and maintain relevant certifications • Communicate trends, issues, and assistance needs to management • Maintain accurate records of time spent on assignments

🎯 Requirements

• Associate's Degree from an accredited college required, or equivalent minimum experience in lieu of an associate degree • Bachelor's Degree from an accredited college in a healthcare-related field preferred • Certified Professional Coder certification required • Certified Coding Specialist certification required • Certified Professional Medical Auditor (CPMA) preferred upon hire • Minimum 5 years auditing or coding compliance experience in a physician practice, or minimum 7 years coding or billing (Revenue Cycle) experience in a physician or outpatient coding environment • High degree of coding accuracy and attention to detail • Ability to communicate complicated coding and compliance concepts effectively verbally and in writing • Proficiency in public speaking, presentations, and educational activities • Extensive knowledge of Medicare regulations, documentation guidelines, and federal and state laws and regulations concerning clinical documentation, coding, and reimbursement • Ability to learn quickly and work independently on complex issues • Excellent time management skills • Ability to adapt to change, prioritize work, and meet deadlines • Strong knowledge of Microsoft Word, Excel, PowerPoint, and Outlook • Ability to maintain confidentiality of sensitive information • Professional appearance and demeanor when working with physicians

🏖️ Benefits

• Full-time employment • Day shift • Support to do meaningful work • More rewarding life