Oversee audit lifecycle and ensure compliance for financial institutions at Fiserv. Collaborating with Staff Auditors and maintaining high audit standards and methodologies.
NS
Hybrid Coding Education, Quality Auditor – CPC, CCS-P
Posted 2 weeks ago
About the role
- Coding Education & Quality Auditor conducting audits for NGPG/NGHS Providers. Ensuring compliance with documentation and coding standards while providing education to physicians and coders.
Responsibilities
- Conduct coding/billing/documentation audits of all NGPG/NGHS Providers
- Determine organizational integrity of coding/billing for professional services
- Ensure the medical necessity of services and compliance with documentation, coding and billing standards
- Apply standardized audit scoring methodology to evaluate consistency of documentation and coding
- Communicate audit results to physicians, physician leadership, senior management, Compliance department and staff
- Provide physician and coder education and make recommendations for corrective action
- Evaluate the quality of clinical documentation to identify incomplete or inconsistent documentation
Requirements
- CPC and/or CCS-P Coding Certification
- CPMA, CEMC or other Nationally recognized healthcare auditing certification required at hire, or required to obtain within 6 months of hire
- High School Diploma or GED
- Minimum three (3) years experience coding and/or auditing Multi-Specialty records required
- Medical Terminology or Anatomy course required
- Demonstrated experience in conducting education to providers and large audiences required.
- Detailed knowledge of ICD-9, ICD-10, CPT and HCPCS coding principles and medical terminology
- In-depth knowledge of best practice coding policy and procedures
- Highly skilled proficiency with Microsoft Office products, advanced proficiency in Excel and Powerpoint
Benefits
- Health insurance
- Retirement plans
- Professional development
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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