Performs coding compliance audits of patient care billing documentation in accordance with annual Compliance Work Plan, and prepares written and oral communication to the Auditing & Compliance Supervisor on the results of audits performed.
Audits are performed to ensure adherence with CPT-4 and ICD-9 coding guidelines, billing documentation, and federal, state, and commercial payer billing and payment policy for all services provided by physicians and professional staff.
What We're Looking For:
High School education required.
Associates Degree in Business or related field preferred.
AHIMA Certification required; CCS-P preferred
Minimum of 3 years of experience with third party medical insurance, diagnostic & procedural coding, and medical billing.
Knowledge of third party billing and payment requirements for third party payers including managed care benefits.
Experience and demonstrated track record in the following skill sets:
Coding and reviewing patient care documentation for billing purposes
Familiarity of interdepartmental interactions as it relates to Revenue Cycle
Understanding of Medical Group operations
Computer literacy ? Word, Excel, Outlook
Familiarity or working knowledge with an electronic medical record environment
Practice management software ? Patient Scheduling/Billing systems (GE/IDX)
Medical, Dental, Vision
Daily iPad mini pow-wows
10 days PTO