Certified Coding Compliance Analyst

1 week ago


Vergennes, Vermont, United States Concentra Full time

Overview

Please note that the salary range provided is subject to confirmation during the interview process.

POSITION SUMMARY:

This role is pivotal in managing provider coding and compliance initiatives within Concentra Health Services. Responsibilities include enhancing revenue processes, ensuring accurate service level coding, and overseeing diagnosis coding.

Key Responsibilities

PRIMARY DUTIES INCLUDE:

Core Functions:

Support and educate providers and coders on revenue enhancement, documentation quality, service level accuracy, and diagnosis coding in line with established guidelines. Conduct compliance audits for designated provider and coder facilities following established protocols. Collaborate with Zone Medical Leadership to create training plans for providers and coders, providing active support throughout the training process. Organize and facilitate ongoing training sessions based on audit findings, denial trends, service level reports, or as requested by medical leadership or management. Stay updated on Coding and State Workers' Compensation regulations to ensure access to the latest information. Offer coding assistance to the Central Billing Office as needed. Perform additional duties as assigned.

Qualifications

EDUCATION AND CREDENTIALS:

High School Diploma

Associate's or Bachelor's degree or equivalent experience

Required: CPC or CCS-P coding certification

RELEVANT EXPERIENCE:

Minimum of five years of progressive experience in healthcare billing, coding, and auditing, including training and presentations for providers.

REQUIRED SKILLS AND COMPETENCIES:

Proficient in auditing

Basic computer proficiency – PowerPoint, Excel, Word

Strong skills in process management

Knowledge of state-specific workers' compensation regulations

Effective training and presentation abilities

Additional Information

Concentra is an Equal Opportunity Employer, including individuals with disabilities and veterans.



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