Senior Compliance Audit & Education Specialist - Onocology

Temple Health – Temple University Health System; Philadelphia (Philadelphia County); On-site; USD 75,000 - 110,000; Full time

Job summary

Temple Health – Temple University Health System is seeking a medical coding auditor responsible for reviews across specialties to ensure coding accuracy and compliance. You will report findings, make recommendations, and present audit results to physicians to improve documentation quality.

The role also entails orienting Temple Physicians on proper code usage, addressing documentation gaps, and following HIPAA and privacy guidelines, with regular onsite time at Temple Health locations.

Qualifications

• High school diploma or equivalent required.
• Bachelor's degree preferred in healthcare or related field.
• Experience in physician coding and auditing is valued.

Responsibilities

• Review and audit coded records across specialties for coding and compliance quality.
• Report findings, make recommendations, and present audit results to physicians within the applicable specialty.
• Orient Temple Physicians to proper code usage, documentation deficiencies, carrier guidelines, and HIPAA/privacy guidelines.

Skills

Medical coding

Auditing

Compliance

Documentation

Education

High School Diploma or Equivalent

Bachelor's degree preferred

Job description

Responsible for reviewing and auditing coded records across specialties for coding and compliance quality. Responsible for reporting findings, making recommendations, and presenting audit results to each physician within the applicable specialty. Responsible for the orientation and continuing education of Temple Physicians related to proper code usage, documentation deficiencies, carrier guidelines, creation of billing tools and HIPAA and Privacy guidelines. Responsible for effective communication with providers in the furthering of the compliance program.

This position requires regular onsite time at various Temple Health locations

Education

• High School Diploma or Equivalent Required
• Bachelor\'s Degree Preferred

Experience

• 5 years experience in medical coding (physician), billing and coding auditing, compliance, clinical documentation and coding training required
• Oncology coding experience preferred including medical, surgical and radiation.
• General Experience in a supervisory role in a hospital setting required

Licenses

• Certified Coding Specialist Required or
• Certified Professional Coder Required or
• Reg Health Information Admin Required or