Compliance Auditor

4 weeks ago

Nashville, United States VMG Health Full time

VMG Health is seeking a Compliance Auditor to perform all levels of documentation and coding reviews related to professional services, project management, and report writing for VMG’s coding and compliance and operational excellence team (CCOE). The Compliance Auditor also provides education and training both internally to the audit team in unique practice specialties and externally to providers. The current team consists of a Managing Director, Director, Manager, Supervisor, Auditors, Coders, and Coordinators who are serving healthcare organizations, providers, law firms, and private equity groups. Services provided include medical coding, auditing, due diligence coding reviews, education and training, general compliance and research. This is an excellent opportunity for the right professional who is interested in building a career in medical coding and compliance with the support of a best-in-class team. Key Responsibilities Work as a part of an audit team to professionally and successfully provide client projects meeting productivity standards and timely deadlines. 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 and abstract patient medical record information according to the ICD-10-CM and CPT-4 Manuals and coding conventions and guidelines, as established by state and federal reporting requirements. Utilize audit reporting tool to record audit results and create a report of results to submit for quality assurance (QA) and feedback prior to submission to client. Develop reports of audit results and corrective action plans. Conduct education and training sessions for external clients. Educate and serve as a resource for providers regarding coding, documentation, and compliance matters. Assist in the development and definition of project scope and objectives, involving all relevant stakeholders and ensuring technical feasibility. Review QA of audit reports prepared by team management and make corrections and/or adjustments as identified. Keep current with changes in government regulatory coding and compliance guidance and other third-party payers as needed. Maintain awareness of changes in coding auditing principles and practices and related areas to maintain professional competence. Qualifications Required Minimum Education: High school diploma or GED. Experience: Minimum of 3 years of CPT and ICD-10 medical coding and auditing experience, including abstracting information from patient charts. License/Certifications: Coding Credentials: AHIMA – Certified Coding Specialist-Physician (CCS-P) or AAPC – CPC required. CPMA Certification required. AACP – CPC-I Certified Professional Coding Instructor -or- CHCA Certification from AHCAE (Association of Health Care Auditors and Educators), preferred but not required. Knowledge & Skills Proficiency in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint) and other relevant technology required. Prior experience in a consulting environment preferred. Experience providing one-on-one and group provider education and training. Proven ability to work with minimal supervision at a high level of productivity. Time management skills, including the ability to prioritize, organize, and coordinate multiple work areas under fast-paced and changing conditions to meet deadlines. Excellent attention to detail. Ability to communicate in a professional and confident manner in one-on-one or group settings. Excellent organization, planning, problem-solving, and decision-making skills with a focus on quality management and results orientation with ability for critical and strategic thinking, self-initiative, and self-direction. #J-18808-Ljbffr

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