Remote Compliance Coding Auditor - Multi-Specialty

Sentara Health Plans; Norfolk, Northern (VA, KY); Hybrid; USD 80,000 - 110,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Paid Time Off

Tuition Assistance

401k/403B with Employer Match

Pet Insurance

Job summary

Sentara Health Plans in Norfolk, VA, is seeking a Compliance Coding Auditor to perform internal coding audits, physician education, and AR query management. The role requires expertise in CCI, NCD, and HCC guidelines, and mastery of MPFS impact on RVU for NPP services. Remote work is favored for VA/NC candidates.

Ideal candidates have CPC/CCS certification and 4+ years of multi-specialty coding experience, including acute care outpatient coding and professional fee coding.

Qualifications

• Associate degree required or preferred.
• CPC or CCS certification required.
• 4+ years of multi-specialty coding experience.
• 4+ years of acute care outpatient coding experience.
• Professional fee coding experience.
• Remote work opportunity for candidates in Virginia/North Carolina.

Responsibilities

• Perform internal coding audits and physician education.
• Manage AR queries and problems.
• Liaise with external auditors for corporate audits.
• Follow the audit plan and provide follow-up to coders, management, and physicians.
• Identify problem areas and advise Manager of Audit and Coding Compliance.
• Coordinate scheduling of internal and external audits.

Skills

Multi-specialty coding

Acute care outpatient coding

Professional fee coding

Regulatory compliance

Auditing

Education

Associate degree

CPC/CCS certification

Job description

Sentara Health Plans in Norfolk, VA, is seeking a Compliance Coding Auditor to perform internal coding audits, physician education, and AR query management. The role requires expertise in CCI, NCD, and HCC guidelines, and mastery of MPFS impact on RVU for NPP services. Remote work is favored for VA/NC candidates.

Ideal candidates have CPC/CCS certification and 4+ years of multi-specialty coding experience, including acute care outpatient coding and professional fee coding.