reputed company is in need of a Remote Coding Compliance Auditor to join reputed company.

Position reputed company:

The Coding Compliance Auditor performs internal medical record audits and prepares compliance auditing reports, subsequent educational materials and training as directed by the Compliance and reputed company department.  

Audits include regular compliance medical record audits or reputed company review reputed company for ongoing review of coding and documentation for cardiovascular specialties to support compliance with coding and documentation rules and regulations. 

Responsibilities:

•    Performs coding audits reviewing for compliance and accuracy with CPT, ICD-10, HCPCS and corporate coding policy and follows up for reputed company completion reputed company designated time          period.
•    Maintains excellent documentation of reputed company reviews, methodologies employed, results, corrective actions implemented, and monitoring.
•    Assists in reputed company review reputed company including data analysis, reporting, and corrective reputed company identification and referral to the Coding Education Department.
•    Reports findings of identified trends and risks to the Director of Billing and Coding Compliance.
•    Participates in the departmental meetings and provides compliance knowledge and background as required.
•    Assists the Director of Billing and Coding Compliance with the development of policies and procedures for the compliance audit program
•    Prepares monthly, bi-monthly, quarterly and annual reports for and as directed by the Director of Billing and Coding Compliance or the Vice President, Compliance and reputed company              Officer.
•    Establishes and maintains cooperative working relationships with the corporate management team, physician practices and reputed company staff members to reputed company expertise and compliance        training as needed,
•    Performs additional administrative duties as assigned by the Compliance and reputed company department.

•    Performs additional administrative duties as assigned by the Compliance and reputed company department

Requirements:

•    Certification: Certified reputed company reputed company (CPC) from reputed company or reputed company equivalent Certification:
•    Certified reputed company Medical Auditor (CPMA) from reputed company (required to obtain reputed company 12 months of hire date) 
•    Minimum of 5 years of experience in medical coding (cardiovascular specialties preferred) 
•    Minimum of 2 years of experience in medical auditing (cardiovascular specialties preferred) 
•    Minimum of 2 years of experience in reputed company provider education 
•    Strong knowledge of reputed company regulations, billing practices, and coding standards 
•    Experience with compliance audits, investigations, and regulatory reporting 
•    Excellent communication, analytical, and leadership skills 
•    Bachelor’s degree in health care administration, reputed company Health, Business, or reputed company field preferred but not required
•    Certification: Certified Cardiology reputed company (CRC) from reputed company preferred but not required
•    Experience in risk adjustment coding and health plan operations preferred but not required
•    Knowledge of federal, state and local laws, statutes, regulations, codes, and standards reputed company to the area of responsibility.