Medical Coding Compliance Auditor

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VMG Health

201 - 500 employees

Founded 1995

🏥 Healthcare

💼 Consulting

☁️ SaaS

💰 Private equity on 2020-04

Healthcare • Consulting • SaaS

VMG Health is a healthcare-focused consulting firm with three decades of experience that provides advisory, operational, compliance, valuation, and transaction services to healthcare organizations. The firm offers M&A and transaction advisory, valuation advisory, coding audit and compliance, strategy and operational performance consulting, physician enterprise solutions, litigation and dispute resolution support, and specialized expertise in ophthalmology and eyecare. VMG also develops software and analytics products (e. g. , Compliance Risk Analyzer®, FMV-MD®, Intellimarker®) and membership programs to support client performance. The company serves clients across all 50 states, employs 300+ professionals, and recently acquired Community Link Consulting.

📋 Description

• Work as a part of an audit team to successfully complete client projects • Access necessary medical record documentation from client’s EMR systems • Complete detailed analysis of medical records for chart content and documentation requirements • Assign diagnostic codes based on abstract from patient medical record information • Utilize audit reporting tools to record audit results and create reports • Develop reports of audit results and corrective action plans • Conduct education and training sessions for internal team and clients • Develop and maintain relationships with clients and all key stakeholders • Maintain awareness of changes in coding auditing principles and practices

🎯 Requirements

• Minimum of 3 years of CPT and ICD-10 medical coding and auditing experience • Extensive experience in E/M coding and auditing • CRC (Certified Risk Coder) coding certification and/or significant HCC coding experience required • AHIMA - Certified Coding Specialist-Physician (CCS-P) or AAPC – CPC required • CPMA Certification required • AAPC - CPC-I Certified Professional Coding Instructor -or- CHCA Certification from AHCAE (preferred but not required)

🏖️ Benefits

• Education and training sessions for internal team and clients • Strong market position, extensive contacts, unparalleled tools and solutions, and expert insights

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