Senior Coding Compliance Specialist
5 days ago
Our client, a leading academic medical center, is seeking a Senior Coding Compliance Specialist to join their team. As a key member of the compliance department, you will be responsible for ensuring the accuracy and integrity of medical coding and billing practices.
Key Responsibilities- Participate in external government audits, including the OMIG, OIG, AG, and OSC.
- Communicate with external agencies regarding audits and develop voluntary disclosures and repayments to federal and state agencies.
- Coordinate, supervise, and perform medical record audits of documentation, coding, and billing for technical and professional services.
- Develop formal audit reports of findings and recommendations, which are presented to senior management and the Executive Compliance Committee.
- Develop and conduct documentation, coding, and billing curriculum and education classes for physicians, allied health professionals, and coding and billing associates.
- Partake in one-on-one education sessions based on audit findings and facilitate responses to compliance-related inquiries.
- Bachelor's degree preferred.
- 3+ years of compliance experience working in an academic hospital setting.
- Knowledge of local, state, and federal rules and regulations.
- Coding certification (such as CCS, CPC, RHIA, RHIT) or ability to obtain within one year of hire.
- Working knowledge of EPIC, SMART, 3M, MD Audit (or comparable compliance auditing software).
- Competitive salary.
- Great benefits.
- Generous PTO.
- All major insurances (health, life, disability).
- Work-life balance is valued.
- A team environment that believes in employee development, professional growth, and company longevity.
- Culture is one of mutual respect, teamwork, and equality.
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