|Skills:||Coding,billing,and payment posting experience
|Specialties:||Anesthesiology Coding (will provide specialty training as needed)
Compliance Manager and Chief Compliance Officer on any billing compliance
•Reviews and audits documentation in the medical records and charges submitted
including CPT and ICD-10 information to ensure compliance.
•Reviews charge information, claim forms, and insurance correspondence to
determine if coding, billing, claim follow-up, payment receipts, posting
activities, and credit processing are being performed in an accurate and timely
manner and is supported by documentation.
•Analyzes billing trends to identify areas of non-compliance and prepares
regular reports on audit findings to Compliance Manager.
•Collaborates with the Compliance Team to develop annual audit work plans.
•Educates providers when deficiencies in documentation and code selection are
•Develops corrective action plans and participates in compliance investigations
•Performs other duties as assigned.
•4 years of healthcare billing and coding experience preferred.
Knowledge, Skills, and
•Must be a
•Experience with coding and payment processing
•Knowledge of auditing procedures and techniques is helpful
•Must work independently and with direction
•Excel skills a must
•Ability to compose memos/letters and other correspondence
•Ability to prepare and write reports, summaries of work/work projects
•Ability to prioritize workload and meet strict deadlines
•Strong organizational skills
•Ability to work in a fast-paced and fluid environment
•Strong problem-solving skills and attention to detail
•Strong personal motivation with ability to work with little supervision and
attention to detail while working in a deadline driven environment
•Ability to communicate clearly and concisely across multiple levels within the
•Works directly with or develops confidential information, which requires
regular use of discretion.
•Decisions require moderate analysis of data or information requiring
development or application of several alternative methods. May involve the
development of timetables or interpretation of data with moderate impact on an
employee group or department.