Coding Auditor - Physician Business Services - Days - FT
Job description
Job Description:
- Responsible for conducting internal audits of the medical documentation, coding, and billing to ensure compliance with regulations and payor policies.
- Performs internal audits of medical documentation supporting claims billed to third parties to ensure accordance with regulations
- Evaluates the appropriateness of the services and procedures, diagnoses, and service levels billed based on the supporting documentation and in accordance with coding guidelines
- Coordinates and reconciles RVU/Charge posting reports
- Prepares and distributes audit result reports
- Provides support to ongoing projects with other departments to resolve billing and documentation issues
- Provide formal and informal coding and regulatory education
- Create educational materials to be used during educational sessions
- Assists in the development of educational programs for providers based on audit finding, as well as general education on coding and documentation rules and regulations
- Provides support to medical providers and Medical Coders regarding coding compliance documentation, regulatory provisions, and third-party requirements
Required Qualifications:
Education: Associate’s degree in Health Information Management, Medical Coding, Business or related field. Certification in CPC and must obtain CPMA certification within one (1) year of hire.
Experience: Four (4) years experience as a medical coder with ICD-10 experience
Customer Service Agreement
About Memorial
Memorial Health System has been dedicated to healing, inspiring, and transforming the health of our community since 1946. With multiple hospital facilities, outpatient surgery locations and diagnostic centers, more than 100 Physician Clinics, and post-acute services including skilled nursing, you can find your fit at Memorial.
When you join our team, you join more than 5,000 individuals committed to exceptional care. We offer several of the region's most comprehensive clinical programs and medical specialties unique to the Coast, including a Level III Neonatal ICU, state-designated Level II Trauma Center, Hyperbaric Oxygen Therapy, and Mississippi's first nationally-certified Primary Stroke Center.
At Memorial, you are valued. We know that our increasingly diverse communities need healthcare professionals that reflect their different cultural backgrounds, perspectives, and values. We acknowledge the uniqueness of all individuals, their commonalities as well as differences, all of which have shaped their lives in meaningful ways.
The development of our team members is integral to the patient care we provide. Grow your skills, and grow with Memorial.
Memorial Health System is an equal opportunity employer and does not discriminate on the basis of any legally protected status or characteristic. Minority/Female/Sexual Orientation/Gender Identity/Disability/Veteran.
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