Auditing and Coding Supervisor

4 weeks ago


Jefferson City, United States Compass Health Network Full time

The Auditing & Coding Supervisor is a member of the agency’s Compliance Department and is responsible for ensuring coding and documentation of services rendered by professional staff within the Compass Health system follow coding guidelines and state and federal regulations. This position supervises and manages the operations of the Auditing & Coding Analysts team responsible for auditing and monitoring claims activity, verifying complete and accurate billing and documentation, and the coordination of the improvement of clinical documentation.

This is a Full-time, benefit eligible, remote position open to Missouri residents.

ESSENTIAL FUNCTIONS – JOB SPECIFIC

• Supervise and oversee the operations of the Auditing & Coding Analysts
• Perform in-depth audits of patient records, reviewing diagnosis and procedures for coding compliance with local, state, federal coding regulations and coding guidelines
• Develops and implements audit tools based on regulatory compliance requirements to identify occurrences of “up” or “down” coding of patient records, potential documentation issues, and other areas of risk
• Oversee coding related claim denials
• Prepare detailed reports on audit findings, corrective action plans implemented and monitoring
• Present in-person and via remote software, audit findings, education, and trends to physicians, coders, and/or other facility professionals
• Communicates regularly with the Chief of Audit Service
• Collaborates with clinical, revenue, and EHR leadership
• Attends committee meetings as assigned
• Provides support to joint projects with other internal staff
• Maintains knowledge of all EHR systems that the organization uses



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