Compliance Coding Auditor

Sentara; England; Remote; USD 40,000 - 80,000; Full time

Job summary

Join a forward-thinking company dedicated to improving health every day! As a Compliance Auditor, you will play a crucial role in ensuring ethical reimbursement and compliance with coding guidelines. This position requires a strong background in ICD and CPT coding methodologies, along with the ability to manage audits and provide valuable insights to management. With a commitment to diversity and inclusion, this innovative firm offers a supportive environment where your expertise will make a significant impact. Enjoy a range of benefits, including medical plans, tuition assistance, and opportunities for professional development.

Benefits

Medical, Dental, Vision plans

Tuition Assistance - $5,250/year

Paid Time Off and Sick Leave

401k/403B with Employer Match

Pet Insurance

Legal Resources Plan

Opportunity for annual discretionary bonus

Qualifications

• 4+ years of multi-specialty coding experience required.
• Competence in CCI, NCD, HCC, and federal payer policies.

Responsibilities

• Perform internal auditing and manage AR queries.
• Liaise with external auditors for corporate audits.

Skills

ICD Coding

CPT Coding

Multi-specialty Coding

Compliance Auditing

AR Management

Education

CPC Certification

CCS Certification

Job description

City/State

Norfolk, VA

Work Shift

First (Days)

Overview:

Overview

Performs functions such as physician education, internal auditing, coder education, management of AR queries/problems, and liaising with external auditors for corporate audits. The internal audit program ensures optimal ethical reimbursement for Sentara's patients and compliance with coding guidelines. Both ICD and CPT coding methodologies are used. The Auditor must demonstrate competence in CCI, NCD, HCC, federal payer policies, and master the MPFS payment methodology within one year. Queries from audits are managed by the Compliance Auditor. The role involves completing audits, providing follow-up, identifying new problem areas, and advising management. Works with leadership on audit scheduling.

Education

• No specific education requirements

Certification/Licensure

• CPC or CCS (Required)

Experience

• 4+ years of multi-specialty coding experience (Required)
• 4+ years of acute care outpatient coding experience (Required)
• Professional fee coding experience (Required)

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and access to CEUs and professional development
• Pet Insurance, Legal Resources Plan
• Opportunity to earn an annual discretionary bonus, subject to system and employee eligibility

Sentara Health is an equal opportunity employer and values diversity and inclusion, reflecting the communities it serves.

In support of our mission "to improve health every day," this is a tobacco-free environment.

Remote work positions are available in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming.