Coding Compliance Audit & Education Specialist
New
P
Privia HealthHealthcare
United StatesFull-TimeMiddle
Salary$70,000.00 to $80,000.00 in base pay
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Job Details
- Experience
- 5+ years of audit and provider education experience is preferred.
- Required Skills
- HIPAA
Requirements
- Certified Professional Coder (CPC) certification.
- Certified Professional Medical Auditor (CPMA) certification.
- Extensive knowledge of CPT, ICD-10, and HCPCS codes and guidelines.
- 5+ years of audit and provider education experience preferred.
- Strong understanding of federal and state laws and guidelines pertaining to CMS and Medicare.
- Ability to comply with all HIPAA rules and regulations.
- Excellent communication skills and ability to work independently.
- Minimum internet speed requirements for remote work: 5 MBPS Download / 3 MBPS Upload.
Responsibilities
- Conduct audits (i.e. baseline, routine periodic, and focused) comparing medical record documentation to reported CPT/HCPCS and ICD-10-CM codes.
- Research, interpret and communicate federal and state laws and guidelines pertaining to CMS and Medicare.
- Prepare audit reports including summary of findings.
- Conduct post-audit provider education with individual or large provider groups.
- Schedule trainings with provider’s offices, individual providers and groups of providers.
- Provide feedback, initial and ongoing education and training, and technical support regarding documentation guidelines, service selection, charge capture, and coding principles.
- Communicate audit findings to providers to track education completion and escalation.
- Provide coding assessment, consultation, education, and issue resolution to key stakeholders.
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