Certified Coding Compliance Analyst
2 weeks ago
Overview
Please note that the salary range provided here is based on market data and will be discussed 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:
Provide support, education, and training to providers and coders on revenue enhancement, documentation quality, service level, and diagnosis coding in alignment with established coding standards. Conduct compliance audits for specified provider and coder centers in accordance with established auditing protocols. Collaborate with Zone Medical Leadership to create and implement training plans for providers and coders, offering ongoing support throughout the training process. Organize and facilitate regular 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 the dissemination of the most current information. Offer coding assistance to the Central Billing Office as needed. Perform additional tasks as assigned.Qualifications
EDUCATION AND CREDENTIALS:
High School Diploma
Associate's or Bachelor's degree or equivalent experience
CPC or CCS-P coding certification Required
RELEVANT EXPERIENCE:
A minimum of five years of progressive experience in healthcare billing, coding, and auditing, including training and presentation to providers.
REQUIRED SKILLS AND COMPETENCIES:
Auditing expertise
Proficiency in basic computer applications – PowerPoint, Excel, Word
Strong process management capabilities
Knowledge of state-specific workers' compensation regulations
Effective training and presentation skills
Additional Information
Concentra is an Equal Opportunity Employer, including individuals with disabilities and veterans.
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