Compass Medical is a rapidly expanding physician owned & directed healthcare company and is affiliated with Steward Healthcare Systems. Compass Medical is a fully integrated healthcare provider that offers high quality healthcare solutions from several locations south of Boston, Massachusetts. We offer Primary Care, Walk-In Urgent Care, some Specialty Care - including Cardiovascular, Radiology & Imaging, Medical Laboratory, and more.
This is an exempt, non-clinical position. The Billing Compliance Auditor/Educator will conduct coding, documentation and billing audits to ensure compliance with state and federal coding standards along with providing billing compliance education to providers and staff on proper coding and documentation requirements.
Perform coding, documentation, and billing audits in focus areas as assigned, including summarizing audit findings, and proposing recommendations. Oversee implementation of audit recommendations as appropriate. Perform follow-up audits and review to monitor and validate ongoing compliance with applicable rules and guidelines.
Maintain excellent interdepartmental communication.
Develop, manage and conduct the Annual Audit of assigned Compass Medical Practices.
Maintain excellent documentation of all review, methodologies employed, results, corrective actions implemented, and monitoring.
Assist in response to billing audits by analyzing risk potential, assisting in medical record collection/submission, and appealing findings.
Assist in creating educational materials and subsequent effective roll-out via individual or classroom setting presentations.
Participate and represent the Compliance Department on committees and in meetings when requested.
Three to five years of coding and/or auditing experience in a physician practice setting
Certified Professional Coder / CPC required
Demonstrated knowledge of CPT, ICD-10, HCPCS coding guidelines, Medicare, and federal and state regulations pertinent to a physician practice.
Computer skills required for word processing, spreadsheets and other applications.
Preferred experience with EClinical Works, or an equivalent Electronic Medical Record platform.
Strong business verbal and written communication skills required.
Stellar analytical and problem solving skills.
Able to manage multiple tasks with minimal supervision, have exceptional attention to detail and perform consistent work product validation/QA.
Please apply on-line.
Please no telephone calls.
Please no faxing, mailing or hand-delivering resumes.
ALL RECRUITMENT IS PERFORMED THROUGH THE BUSINESS OFFICE IN EAST BRIDGEWATER. PLEASE DO NOT CONTACT OUR COMPLIANCE DEPARTMENT FOR INFORMATION.
362 North Bedford Street
East Bridgewater, MA 02333