Coding Auditor and Education Specialist
2 weeks ago
POSITION SUMMARY
As a key member of the ProMedica team, this role is responsible for providing training, audit, and billing education services to healthcare providers. Ensuring medical service documentation and coding conforms to guidelines and regulations is a top priority. This position handles high-level assignments such as auditing of coding, compliance, and provides education to physicians and other qualified healthcare providers regarding coding and documentation.
ACCOUNTABILITIES
1. Develop and coordinate an educational plan that encompasses accurate documentation, coding, and billing procedures based on specialty.
2. Provide regular audits of provider documentation/coding accuracy; summarize information and make suggestions to improve process.
3. Recognize inaccurate dictation and documentation trends and issues of both physicians and clinical staff and collaborates with the office manager/operations director, physicians, and staff to correct.
4. Provides scheduled educational seminars regarding coding/billing updates and changes.
5. Works with providers one-on-one to facilitate accurate documentation and coding.
6. Provides coding education to billing staff, as needed.
7. Works with billing manager in the coordination of appeals to obtain appropriate and/or additional reimbursement.
8. Communicates and maintains effective interpersonal relationships with Billing manager, operations director, physicians, and staff.
9. Other duties as assigned.
REQUIRED QUALIFICATIONS
Education: Associate degree in a related field
Skills: Must be able to understand directions, communicate, and respond to inquiries; requires a strong commitment to customer service and effective interpersonal skills. Must be detail-oriented and have the ability to work independently. Extensive experience with ICD-10 and CPT coding.
Requires excellent verbal and written communication skills.
Years of Experience: Minimum of 3 years coding experience with physicians coding. Experience performing physician coding audits.
Certification: CPC, RHIT, RHIA, CPMA, CEMC, or CCC
ProMedica
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