Become part of Arizona
Community Physicians (ACP), Arizona's largest and most successful
physician-owned medical group. ACP is a patient-centered organization
consisting of approximately 800 employees. Our group includes 170 providers in
the specialties of family medicine, internal medicine, geriatrics, pediatrics,
endocrinology, rheumatology, dermatology, and gynecology. We are located in 58
locations of varying sizes in Tucson, Oro Valley and Green Valley. Our dynamic
group offers lots of opportunities for professional growth and personal
satisfaction. Remote coding not available.
Job Summary
Audits medical provider
clinical documentation while adhering to Medicare/Medicaid billing regulations
and Risk Adjustment (RAF) guidelines. Identifies areas for coding improvement
and effectively communicates with providers and staff to review findings and
best practices for medical coding. Performs in a professional manner,
exercising good judgment and ethical standards. Interacts effectively and
builds respectful working relationships across the organization. Demonstrates
integrity by adhering to high standards of personal and professional conduct.
Must be reliable and have the ability to maintain a high level of
confidentiality within all aspects of job performance.
Skills/ Requirements
Responsibilities
Performs coding services
while meeting daily production and quality goals
Performs audit
activities including review of medical chart coding and billing documentation
Partners with providers
and staff to improve quality and efficiencies in coding and documentation of
provider claims which involves educating and coaching on compliant coding
practices and risk adjustment guidelines
Maintains excellent
documentation of all reviews, methodologies employed, results and corrective
actions implemented and monitored
Appropriately uses
coding principles to code to the highest specificity while complying with CMS
regulations and company goals and policies
Reviews CMS and
insurance bulletins, newsletters and periodicals to maintain policies and stay
abreast of current coding issues, trends and changes
Understands and adheres
to The Health Insurance Portability and Accountability Act (HIPPA) and CMS
Coding requirements
Maintains knowledge of
policies and procedures and performs in accordance with the ACPs policies and
procedures, applicable regulatory requirements, external laws and accreditation
standards
Facilitates and supports
a culture of compliance, ethics and integrity
Maintains professional
certifications
Travel to office
locations will be required
Performs other duties
and responsibilities as required
Qualifications
Minimum 2 years
experience coding outpatient Evaluation & Management (E/M) Services,
preferably Primary Care
Certified Professional
Coder (CPC) certification
Advanced knowledge of
ICD-10, CPT and HCPCS
Knowledge of HCC codes
and the Medicare Advantage “Risk Adjustment” process
Thorough understanding
of healthcare compliance with experience in auditing E/M services and providing
professional constructive feedback in regard to billing and documentation practices
Thorough understanding
of Medicare/Medicaid billing regulations and documentation guidelines
Strong knowledge of
chart auditing/abstracting process
Effective communication,
relationship-building and interpersonal skills
Exceptional attention to
detail and proficiency in Microsoft Word and Excel