Incorporated, a leading healthcare consulting firm is currently seeking a Coding
& Compliance Analyst to work either as a fulltime employee or an
independent contractor to support the Company and its clients with all coding
and compliance inquiries and initiatives.
Consulting Incorporated is a coding and compliance consulting firm in Delray
Beach, Florida. Founded in 2000, the
firm enjoys a reputation of excellence and is privileged to be endorsed by
several local and national physician and specialty organizations. For additional information, go to www.AcevedoConsulting.com.
Coding & Compliance
Analyst – The Coding &
Compliance Analyst will ensure coding and billing compliance through ongoing
audits and education of physicians, staff, and clinic sites. Under general
supervision, using a combination of regulatory, coding, documentation and
billing knowledge, the Coding & Compliance Analyst will complete scheduled
audits of assigned providers at designated intervals. Manages coding and billing audits to ensure accuracy and compliance to
maximize revenue collection and educate providers and coding staff. Develops
strategic solutions and provides administrative direction in the areas of
coding and clinical documentation improvement. Completes internal coding
reviews, audits, risk assessments and education (as applicable) for physicians
The auditor will also monitor and aid in improving the quality of documentation
related to the requirements to bill for services provided. The Coding &
Compliance Analyst will compare clinical and financial records to ensure that
the documentation provided supports the patient charges listed. The Coding
& Compliance Analyst must be able to work collaboratively to help ensure
the firm’s clients maintain accurate and appropriate coding and billing.
The ideal candidate will
have extensive experience in healthcare coding and compliance, preferably in
both a hospital and healthcare company setting.
Qualified candidates must possess their
Certification in Healthcare Compliance (CHC) from the Health Care Compliance
Board of the Health Care Compliance Association (HCCA).
Candidates must possess a Certified Professional Coder
(CPC) designation or its equivalent. CPMA is a plus. Must have an understanding
of physician and other “Part B” professional billing, ICD-10-CM, regulatory
compliance, litigation support and/or internal auditing. MRA coding expertise
Minimum of five (5) years of experience with
compliance and coding auditing.
Candidates must be able to articulate proven
strategies for audit processes; including but not limited to, formulating
compliance work plans, formulating and implementing audit strategies, managing
auditing projects and preparing audit reports of findings.
- Ability to
handle multiple tasks and meet deadlines while working independently or as an
active member of a team
management experience that includes interacting with and presenting to both
internal and external stake holders (executives, C-suite, health policy
interpersonal skills that translate into positive relationships with colleagues
Candidates must have experience working under the
auspices of counsel in a work product environment.
Qualified candidates must have experience educating
providers in one-on-one and group settings.
extensive knowledge of Evaluation & Management documentation and coding
compliance audits of physician E/M coding and procedure documentation.
and implements policies meant to improve coding or billing operations and
provides training to coding and billing staff.
coding or billing accuracy to measure improvement.
and delivers compliance-related training sessions to providers.
a continual feedback process to providers that include coding education or changes
to billing regulations.
coding education and training for providers.
Education and Experience Requirements: Bachelor’s
degree in healthcare field or equivalent work experience required. 5+ years of
Coding Auditing/Compliance experience is preferred.
Certifications/Licenses: Candidates must possess a Certified
Professional Coder (CPC) designation or its equivalent. CPMA is a plus. Must
have an understanding of physician and other “Part B” professional billing,
ICD-10-CM, regulatory compliance, litigation support and/or internal auditing.
MRA coding expertise also valuable.
Knowledge, Skills and Abilities:
Ability to handle multiple tasks and meet deadlines
while working independently or as an active member of a team
Strong interpersonal skills that translate into
positive relationships with colleagues and clients
communication skills/professional presence with ability to lead and drive
independent judgement, analyze and solve problems
- Use active
effectively with internal and external customers at all levels
information to Physician’s and Advance Practice Providers
Working Knowledge of:
documentation improvement processes
ACI offers a challenging work environment,
competitive pay and great benefits including Health Insurance, 401(K) with
company match and generous Paid Time Off and Holidays.