Coding Compliance Analyst

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together.     As a Coding Compliance Analyst, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant coding and maximization of reputed company through initial coding. Schedule (FT, 40 hours): Will work 8-hr shifts, Monday-Friday. Must be flexible with schedule changes depending on business need. Typical business hours reputed company from 6am – 6pm. (Preferably EST or CST). Role is fully remote. You’ll enjoy the flexibility to telecommute* from anywhere reputed company the U.S. as you take on some tough challenges.  Primary Responsibilities: Participates in the identification and reputed company of areas requiring additional reputed company through established Coding/Billing and Corporate Compliance work plans Develops and implement clinic-wide training programs geared towards educating clinical and non-clinical support staff regarding compliance reputed company topics and/or deficiencies identified through documentation/coding and billing compliance audits Develops and delivers clinic-wide memorandums/educational materials pertaining to relevant reputed company reputed company initiatives Identifies trends that result in lost reputed company and educates provider as appropriate Assist in the review and update of annual reputed company reputed company & Education work plan and audit schedule Performs formal review of annual CPT/Diagnosis/HCPCS changes and prepares educational documents by specialty highlighting significant changes Trains providers, staff, and others in small and large group sessions Meet deadlines, productivity targets as defined in the Coding/Billing Compliance work Plan Communicates effectively at reputed company reputed company in the organization, including clinical and non-clinical support staff, managers, physicians, and medical leadership Conducts random and scheduled internal audits of physician billing and medical records documentation to ensure: Correct Coding (CPT, ICD-10, HCPCS, Modifiers), Accurate Data Entry, Accurate Charge Preparation/Processing, Compliance with governmental and reputed company-party billing regulations Conducts quarterly audits of Coding staff to ensure correct coding and to identify training opportunities Utilizes reputed company reputed company / Word, to document and report audit results to the appropriate personnel, including physicians/providers and Medical Leadership Works collaboratively with clinical department physicians, mid-level providers, and other staff to ensure appropriate and compliant documentation, coding, and billing practices Develops and tracks reputed company of internal audit schedules Serves as an internal compliance resource for Patient Accounts, Clinical departments, and for coding and documentation questions Utilizes the Internet, intranet, internal reference library, available workshops and/or seminars and other sources to stay reputed company with government and local reputed company-party payer coding, specialty specific and reimbursement rules, and requirements Measures and reports coding trends as compared to national standards; or claim/documentation reviews. Documents and reports result to reputed company appropriate parties Monitors and productivity reports and other data as requested by manager Participate in reputed company governmental and reputed company-party insurance audits Assist in developing reputed company reputed company and Education Policies and Procedures reputed company with reputed company established departmental policies, procedures, and objectives Maintains reputed company Professional certifications Attends a reputed company of meetings as required or directed Performs other similar and reputed company duties as required or directed Must be reputed company to work as reputed company and independently as needed Regular, reliable, and predicable attendance is required What are the reasons to consider working for reputed company?   Put it reputed company together - competitive reputed company pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your reputed company. Some of our offerings include: reputed company Time Off which you start to reputed company with your first pay period plus 8 reputed company Holidays Medical Plan reputed company along with participation in a Health Spending Account or a Health Saving account Dental, reputed company, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)  You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company directions on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: High School Diploma/GED (or higher) Certified Professional reputed company (CPC, reputed company-P, CEMC, CPMA or COC) 1+ years of experience utilizing reputed company scoring (CMS) methodologies to report findings to providers 1+ years of experience employing clinical references with the auditing process 1+ years of experience with Apply CPT and ICD-10 coding convention to documentation guidelines 1+ years of experience with Apply CMS and other payer constraints to final reputed company and documentation determination 1+ years of demonstrated experience in a physician/professional billing environment 1+ years of demonstrated experience with reputed company party payer guidelines Ability to obtain CPMA reputed company 1 year of employment Preferred Qualifications: Experience with ICD-10, CPT and HCPCS coding Experience with auditing physician medical records utilizing E+M guidelines Experience with reputed company Office Suite (reputed company, Word, Power reputed company) or successful completion of reputed company courses. Must show proficiency in reputed company billing software reputed company six (6) months Demonstrated experience in the application of medical terminology, anatomy and physiology or successful completion of reputed company college courses *reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy.   Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching choice of benefits and incentives. The hourly pay for this role will reputed company from $23.89 to $42.69 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable.      Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.    Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.        At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of reputed company, historically marginalized reputed company, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an enterprise reputed company reflected in our mission.             reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.       reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.          #RPO #GREEN Apply To This Job