Junior Medical Auditor at Sami analyzing medical accounts and ensuring compliance with healthcare regulations. Collaborating with teams to improve healthcare services and processes.
About the role
- Lead VMG Coding Auditor responsible for coding quality audits and clinician education within Virtua Medical Group. Conducting external audits and managing training resources for coding staff.
Responsibilities
- Responsible for leading professional fee (pro-fee) coding quality audits, education, and training for CPT, ICD-10-CM, and HCPCS codes for Virtua Medical Group clinicians and coding department
- Leads and coordinates all phases of external clinical professional fee coding audit
- Communicates audit results to clinicians and leads
- Manages rebuttals
- Coordinates and performs post audit education
- Tracks and reports results
- Maintains all audit documentation and serve as a liaison for internal and external auditors
- Develops coding and training resources for the entire coding team
- Provides education to their staff, including clinicians and billers on pro-fee coding issues
Requirements
- 3+ years professional fee(provider) coding and healthcare auditing experience required
- Professional fee auditing and education experience required
- Multi-specialty professional fee coding experience preferred
- Advanced organizational skills – ability to work proactively with multiple priorities
- High level of technical proficiency in Word, Excel, PowerPoint, Outlook, EMR systems
- Subject matter expertise in the areas of CPT, ICD-10-CM and HCPCS coding required
- Ability to develop and present education presentations required
- Coding Certificate Program, or equivalent experience, leading to appropriate certification
- CPC Certification by AAPC required
- CPMA Certification by AAPC preferred
Benefits
- medical/prescription, dental and vision insurance
- health and dependent care flexible spending accounts
- 403(b) (401(k) subject to collective bargaining agreement)
- paid time off
- paid sick leave as provided under state and local paid sick leave laws
- short-term disability and optional long-term disability
- colleague and dependent life insurance and supplemental life and AD&D insurance
- tuition assistance
- employee assistance program that includes free counseling sessions
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