Certified Professional Coder

5 days ago


Bryn Mawr PA USA, United States Bryn Mawr Medical Specialists Association Full time

Bryn Mawr Medical Specialists Association is seeking a highly skilled Certified Professional Coder to join our team.

Job Summary

We are looking for a seasoned compliance expert to provide expertise on coding questions, internal and external chart audits, claim appeals, and provider and staff education.

Key Responsibilities
  • Monitor provider coding and documentation for compliance with carrier and billing regulations.
  • Track and maintain records of all internal and external audits, results of conducted audits, and education.
  • Participate and assist with external audits.
  • Develop and implement training programs for providers and staff regarding coding and documentation based on current standards and regulations.
  • Act as a resource for questions regarding coding and documentation.
  • Update providers and staff regarding changes in coding requirements.
  • Assist with addressing certain denied claims.
Requirements
  • Minimum 35 years healthcare compliance experience.
  • Strong knowledge of federal and state healthcare compliance laws and regulations, particularly fraud, waste, and abuse and privacy.
  • Demonstrated ability in compliance policy and procedure development, implementation, education, and monitoring.
  • Bachelor's degree in a relevant field, including but not limited to: nursing and other clinical majors, business, and healthcare management.
  • Healthcare compliance certifications preferred.
  • Excellent leadership, interpersonal, organization, and problem-solving skills.


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