|Required Certifications:||AAPC (CPC),or CCS),RHIT,RN/LPN,AHIMA (RHIA
|Required Experience:||1 to 2 years
|Preferred Experience:||3 to 4 years
A senior level compliance auditor conducting assessments in accordance
with The Guthrie Clinic’s policies and procedures and accepted
guidelines for medical coding.
Works closely with the Compliance Officer and Compliance Audit Coordinator to perform audits outlined in the work place and as needed.
Relies on professional judgement to ensure Internal Audit and Compliance standards are used to assess compliance with CPT, ICD-9/10, HCPCS, Payor, CMS guidelines and TGC policies.
Associates degree required; Bachelor’s preferred
Working knowledge of medical terminology, anatomy and physiology, and coding guidelines including CPT, ICD- 9 /10-CM, and HCPCS coding systems and guidelines, payer guidelines and requirements.
Minimum 1-year experience in Physician coding and billing and/or compliance field required
5 year of clinical experience and/or knowledge and understanding of Medical Records auditing process preferred