Billing & Coding Auditor

2 months ago

Iselin, United States Omni Ophthalmic Management Consultants (OOMC) Full time

**Job Overview**:
We are seeking a detail-oriented and experienced Billing and Coding Auditor to join our team. As a Billing and Coding Auditor, you will be responsible for coordinating surveys/audits including tracking deliverables, tasks, and corrective actions to ensure accuracy and compliance with industry regulations. This is a vital role in maintaining the integrity of our organization

**Responsibilities**:

- Manages ongoing auditing and monitoring in accordance with the established Annual Audit Work Plan and relevant policies and procedures, including coordination of physician pre-billing reviews and follow-up on corrective actions identified. Ensures timely execution of compliance program elements and maintenance of established compliance metrics.
- Assists in the development of appropriate policies and educational documents related to compliance with documentation and coding requirements.
- Develops and implements processes that will effectively monitor/track compliance requirements, including reports, performance metrics and scorecards for the Billing/ Coding Audit team.
- Provides education on coding and documentation requirements as part of New Hire Orientation for staff, one-on-one sessions for newly hired clinicians, and in-services on regulatory changes as appropriate and timely.
- Manages weekly quality reporting notifications (MIPS) for practice clinical operations.
- Performs other job-related duties as required.

**Skills**:

- Demonstrated physician practice business office operations/ revenue cycle experience.
- Excellent attention to detail and ability to identify discrepancies or errors
- Strong analytical and problem-solving skills
- Effective communication skills to collaborate with various stakeholders

**Education**:
Bachelor’s degree or equivalent

**Licensure/Certification**:
Medical Coding Certification (CPC, RHIT, or RHIA)

Medical Coding Certification in Ophthalmology

Pay: $65,000.00 - $80,000.00 per year

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance

Schedule:

- 8 hour shift
- Monday to Friday

Work setting:

- Hybrid work

**Experience**:

- ICD-10: 1 year (preferred)

Ability to Commute:

- Iselin, NJ 08830 (required)

Ability to Relocate:

- Iselin, NJ 08830: Relocate before starting work (required)

Work Location: Hybrid remote in Iselin, NJ 08830

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