Medical Coding Auditor & Educator - Compliance & Training

Phoebe Physician Group, Inc.

United States

On-site

USD 65,000 - 90,000

Full time

2 days ago

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Job summary

Phoebe Putney Health System is seeking a CBO Coding Auditor/Educator to audit medical records, assign ICD-10-CM/PCS and HCPCS codes for billing and reporting, and ensure compliance with guidelines and payer regulations. You will educate physicians and staff to optimize documentation and coding accuracy.

You will also train coders, analyze denials, and implement corrective actions while advising on regulatory changes.

Qualifications

2 year / Associate's Degree in related field; In lieu of Associates Degree, eight years directly related experience (Required).
4 years experience with ICD-10, CPT, and HCPCS coding (Required).
4 years extensive knowledge of medical terminology (Required).
4 years related Revenue Cycle healthcare experience (Preferred).
3 years health information management or coding management in physician practice/clinic (Preferred).
Prior Athena or Meditech experience (Preferred).
Experience with Phoebe Provider Group’s legacy financial systems (Preferred).

Responsibilities

Audits medical record documentation and coding to extract data and determine ICD-10-CM/PCS and HCPCS codes for billing and reporting.
Educates physicians and clinical staff to ensure complete documentation and resolves incomplete information with queries.
Educates and trains coders on coding and reimbursement guidelines and career ladder development.
Researches audit results, errors, denials, and resolves by appeal, staff education, and corrections.
Acts in an advisory capacity to coding staff, clinical staff, and physicians on documentation, coding, and regulatory compliance.
Reports to the CBO Coding Manager.