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Job Requirements of Physician Compliance Auditor 2:
-
Employment Type:
Contractor
-
Location:
Dallas, TX (Onsite)
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Physician Compliance Auditor 2
Careers Integrated Resources Inc
Dallas, TX (Onsite)
Contractor
Job Title: Physician Compliance Auditor
Job Location: Dallas, TX (Fully Remote)
Job Duration: 5-6 Months (possibility of extension)
Shift: Mon - Fri, 8:00am - 5:00pm
Duties and Responsibilities:
Job Location: Dallas, TX (Fully Remote)
Job Duration: 5-6 Months (possibility of extension)
Shift: Mon - Fri, 8:00am - 5:00pm
Duties and Responsibilities:
- Perform annual chart audits (mostly in their areas of expertise) and formulate recommendations based upon the audit findings and communicate them to the appropriate personnel.
- Implement annual coding reviews and ensure that compliance issues and areas of risk are identified and addressed.
- Develop curriculum to be used in orienting and educating providers and staff in the specialty clinics to medical record documentation guidelines and standards and to diagnostic and procedural coding conventions and methodologies.
- Assist in specialty coding educational sessions with Revenue Cycle Management (RCM) and Risk Based Coding.
- Coding compliance resource and consultant for all physicians and advance practice providers, company administrators and physician practice staff.
- Prepare and submit compliance reports to the compliance committee.
- Serve as a coding and documentation resource to Physician Coding Auditors I and RCM on specialty (cardiology, neurology, orthopedics, etc.) coding.
- Cross-train other Physician Coding Auditors in their area(s) of expertise in order to provide more depth and flexibility to the department.
- Maintain working knowledge of Federal, State, private payer, and other applicable legal and regulatory requirements for the compliance department.
- Special projects as needed.
- Performs other position appropriate duties as required in a competent, professional and courteous manner.
- CPC, CCS, RHIT - must have one and Please attach in resume.
- Provider education/audit required.
- 5 years exp minimum, epic is preferred.
- Knowledge of CPT, ICD-10 and HCPCS.
- Ability to research topics regarding compliance and coding efficiently and accurately.
- Able to clearly and concisely explain compliance concerns and resolutions with the ability to comfortably discuss the same with all members of the organization.
- Proficient in Word, Excel, and PowerPoint.
- Four years auditing experience.
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