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Coding Auditor

Company: Addison Group
Location: Columbia
Posted on: May 21, 2018

Job Description:

Columbia, MDESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):Coder Education:

  • Conduct Coder QA and Education as part of identified remediation
  • Collaborate with Management on development of individual or group performance improvement plans related to billing compliance or coding issues
  • Develop or review internal workflow or pathway directives that impact coding and charge capture
  • Conduct coder Pre- production QA and educationProvider Education:
    • Documentation review and Feedback sessions
    • Documentation template improvements
    • Coding and Regulatory Updates related to Specialty coding and procedures Training & Curriculum:
      • Development and delivery of coding educational materials and training for use both internal and external to the department, including physicians live and remote methods.
      • Maintain operational workflow pathways and assist coding leads as needed
      • Maintain Coding resources shared libraryOther Job Responsibilities:
        • Utilizes knowledge of revenue cycle, analyzes coding data to assist with QA selection process
        • Assist in supporting teams with analysis and review of documentation for new business
        • Maintains confidentiality of sensitive information concerning patients, physicians, employees, clients, vendors, and the company.
        • Ensure compliance with all State, Federal, professional regulations as well as department rules, policies, and procedural manuals.
        • Adherence to Safety Regulations.
        • Adherence to HIPAA Regulations.
        • Maintain specialty certification CEU's, coding updates and all regulatory or payer guidance
        • Other duties as assigned. REPORTING TO THIS POSITION: No direct reports JOB REQUIREMENTS (Knowledge, Skills and Abilities):
          • Communicate well with the public
          • Ability to read, write, and speak English EDUCATION/TRAINING/EXPERIENCE:
            • The individual in this role must possess a National coding certification (AHIMA, AAPC) and have compliance auditing and Specialty Coding Education experience
            • National Certification and Minimum of five years' Experience in physician coding, Anesthesia/Pain Management, Surgery and E/M, ICD-10, with experience in Academic settings.
            • Proficient in MS Office including Excel, Word and Power Point
            • Experience in Revenue Cycle and Claim processing
            • Demonstrated superior presentation skills
            • Experience managing multiple simultaneous clients or projects with a high level of attention to detail
            • This position covers Maryland and Florida, travel is required PHYSICAL REQUIREMENTS:
              • Requires prolonged sitting, some bending, stooping and stretching
              • Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator and other office equipment
              • Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations.
              • Requires lifting papers and boxes weighing up to 35 pounds occasionally
              • Requires dexterity to type at least 35 wpm. WORKING CONDITIONS (environment and safety):
                • Work performed in office environment
                • Involves frequent contact with professional staff and managed care organizations
                • Work may be stressful at times
                • Interaction with others is frequent and often disruptive PI102423309

                  Keywords: Addison Group, Chantilly, Coding Auditor, Accounting, Auditing, Columbia, Virginia

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