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Auditor & Educator in WNC for large Multispecialty Physicians group Job in Waynesville, North Carolina

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Job Title: Auditor & Educator in WNC for large Multispecialty Physicians group

Employer:Harris Regional Hospital, A Duke Lifepoint facility (Auditing WCPP Physicians
Skills:CPT,ICD-10,HSPCS,Good communication skills,organize
Specialties:Multi Specialty
Required Certifications:CEMC or CPMA,CPC
Preferred Certifications:CPC + CEMC or CPM
Required Experience:1 to 2 years
Preferred Experience:1 to 2 years
Location:13 Haywood Office Park, Ste 106B Waynesville 28786, NC, US
Date Posted:1/17/2019

1. Completes coding training with new start up physicians and staff.

2. Conducts pre-bill audits on first 20 claims for new startups.

3. Conducts monthly 10 chart audits per provider when scores are less than 90% while submitting one of the monthly audits to appropriate Compliance Manager to fulfill self-audit requirement for those who score 70-79% on their Ethics & Compliance Coding Audit.

4. Conduct focused pre-bill audits for providers who score lower than 70% on their audits from Ethics & Compliance.

5. Educate coders/billers of code changes.

6. Monitor compliance of policies including CEU requirements.

7. Assist with completion and monitoring of action plans issued from Ethics and Compliance.

The Regional Coding Specialist performs E&M and CPT coding audits as well as other projects related to physician coding compliance. Educates physicians and clinic staff on proper clinical coding and documentation standards and rules. Demonstrates a thorough understanding of complex coding, reimbursement, and auditing principles as they relate to physician practices and clinic settings. Keeps informed regarding current coding regulations, professional standards and company/department policies and procedures and effectively applies this knowledge. Monitors external audits for compliance and enters notices into ARTHUR MD.

***Some work from home, but must meet with providers face to face for education and audit results in Haywood, Jackson, Macon and Swain counties.***


To apply directly go to- https://lifepointhealth.jobs.net/en-US/search?keywords=Harris&location=Sylva%2CNC&facetcitystate=clyde%2Cnc

This position is posted under Harris Regional Careers and the CBO is located in Clyde, NC.

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