Job Summary:

Position Summary:

Under the direction of the Faculty Practice Plan Compliance Officer the main duties for this position include:

• analysis of professional coding and billing data
• review of applicable regulations or guidelines
• professional coding and billing audits of CPT and ICD 10 coding.

Duties/Responsibilities:

• Analysis of coding and billing data, identification of trends and aberrations
• Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, CPT and ICD 10 coding, and billing guidelines
• Interpretation of coding, billing, and regulatory standards

Preparation and completion of audit reports including recommendations, education and corrective action.

Knowledge, Skills and Abilities:

• Strong computer skills specifically Microsoft word and Microsoft excel applications
• Strong analytical, problem-solving and time management skills
• Expertise in report writing and oral communications
• Ability to interpret regulations, payment and reimbursement systems, billing and coding guidelines and apply standards
• Familiarity with health information and/or medical records
• Able to organize work, prioritize assignments and meet deadlines
• Maintains a professional and cooperative attitude with providers, co-workers and employer
• Able to maintain confidentiality of all patient information and compliance related information.

Minimum Qualifications:

Associates degree and 2 years experience in healthcare setting. CCCS-P, CCCS, CPC, RHIA or RHIT required.

Preferred Qualifications:

Bachelors Degree; Coding and auditing experience preferred.

Work Days:

Monday–Friday, daytime hours. Hybrid/remote work options may be considered based on department needs and position requirements

Message to Applicants:

Our benefits package includes health, dental and vision insurance, eligibility for employer 401k funding after 1 year (3% quarterly/5% annual on vesting schedule), tuition reimbursement, generous paid time off, including vacation and personal time, paid sick leave, holidays and floating holidays.

G5: $25.10 - $42.92

Please note the salary information shown is a general guideline only. Salaries are based upon candidate skills, experience, and qualifications, as well as internal equity, market and business considerations.

Recruitment  Office: MedBest Medical Management