Coding Compliance Audit & Education Specialist - Remote

Overview

The Coding Compliance Audit & Education Specialist audits medical records for compliance with federal coding regulations and guidelines, ensuring proper documentation and coding practices.

In Short

• Conduct audits comparing medical record documentation to reported codes.
• Research and communicate federal and state laws regarding CMS and Medicare.
• Act as an internal expert on coding compliance.
• Prepare audit reports summarizing findings.
• Conduct post-audit provider education.
• Schedule trainings with providers.
• Provide feedback and ongoing education on documentation guidelines.
• Communicate audit findings to providers.
• Provide coding assessment and consultation.
• Handle difficult conversations regarding compliance.

Requirements

• 5+ years of audit and provider education experience preferred.
• Extensive knowledge of CPT, ICD-10, and HCPCS codes.
• Certified Professional Coder (CPC) and Certified Professional Medical Auditor (CPMA) required.
• Experience with MDAudit and Athena is a plus.
• Must comply with HIPAA regulations.
• Excellent communication skills and ability to work independently.

Benefits

• Base salary range of $70,000.00 to $80,000.00.
• Eligible for an annual bonus targeted at 15%.
• Comprehensive benefits including medical, dental, vision, and life insurance.
• 401K and paid time off.
• Wellness programs available.