Coord Coding Audit (FPP)

POSITION
SUMMARY

11.0pt;mso-bidi-font-family:Arial;font-weight:normal;mso-bidi-font-weight:
bold"Works collaboratively with the Corporate Compliance Office to perform
coding reviews and functions as an objective reviewer and evaluator of coding
and compliance issues. Leads and guides Coding Reimbursement Specialists.

RESPONSIBILITIES

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1.    Ensures complete and accurate coding by conducting periodic auditing
for all billing providers.

2.    Follows a Physician Practice Coding and Compliance Program including
controls and compliance measurements consistent with corporate policies/ procedures
to prevent illegal, unethical or improper coding conduct.

3.    Utilizes GECB and related modules to obtain, analyze and interpret
coding, denial and other reimbursement data to support compliant billing and
practice management activities.

4.    Communicates, educates and trains providers on identifying coding
and/or documentation issues or updates as identified via record review and/or
regulatory guidance.

5.    Follows the internal audit schedules and performs all level of coding
reviews in accordance with the Physician Practice Chart Review Program.

6.    Provides shadow training for providers in extended level of chart
review requiring one-on-one training for extended periods of time.

7.    Works collaboratively with Practice Revenue Managers of various
clinical departments to ensure correlation of information on superbills with
rendered clinical services.  Works on
complex assignments requiring research and recommendation of coding
reimbursement department.  Makes
recommendations for coding/reimbursement improvement to physician practices
as necessary.

8.    Works collaboratively with Physician Practice Management to create,
support, and maintain committees related to coding/reimbursement and
regulatory activities.

9.    Performs Quality
Audits on peers and/or billing vendors to ensure compliance with departmental
guidelines and accuracy of results.

10.  Maintains coding
credential through attainment of designated number of CEU’s.  Attends regular AAPC chapter meetings.  Attends and summarizes Coding Reimbursement
sponsored webinars and education sessions. bold"

11.  Leads, guides and
trains Coding Reimbursement Specialists. bold"

12.  Performs related duties, as required.

*ADA Essential Functions

REQUIRED
EXPERIENCE & QUALIFICATIONS

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High School Diploma or equivalent, required. Knowledge of Health
Information Administration or related field, as normally
acquired through the completion of a Bachelor’s Degree.

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Credentials in one or more of the following:

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Specialist (ACS)

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Coding Specialist (CCS)

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Coding Specialist – Physician (CCS-P)

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Professional Coder (CPC)

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Risk Coder (CRC)

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Certified Professional Medical Auditor
(CPMA)

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Minimum
of five (5) years related work experience including supervisory experience or
successful completion of Coding Reimbursement internal training and mentoring
program, required.