Coding Auditor/Educator at Addison Group

Posted in General Business 12 days ago.

This job brought to you by eQuest

Type: Full-Time
Location: Columbia, Maryland

Job Description:

ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):

Coder Education:


  • Conduct Coder QA and Education as part of identified remediation

  • Collaborate with Management on development of individual or group performance improvement plans related to billing compliance or coding issues

  • Develop or review internal workflow or pathway directives that impact coding and charge capture

  • Conduct coder Pre- production QA and education

Provider Education:


  • Documentation review and Feedback sessions

  • Documentation template improvements

  • Coding and Regulatory Updates related to Specialty coding and procedures

 

Training & Curriculum:


  • Development and delivery of coding educational materials and training for use both internal and external to the department, including physicians live and remote methods.

  • Maintain operational workflow pathways and assist coding leads as needed

  • Maintain Coding resources shared library

Other Job Responsibilities:


  • Utilizes knowledge of revenue cycle, analyzes coding data to assist with QA selection process

  • Assist in supporting teams with analysis and review of documentation for new business

  • Maintains confidentiality of sensitive information concerning patients, physicians, employees, clients, vendors, and the company.

  • Ensure compliance with all State, Federal, professional regulations as well as department rules, policies, and procedural manuals.

  • Adherence to Safety Regulations.

  • Adherence to HIPAA Regulations.

  • Maintain specialty certification CEU’s, coding updates and all regulatory or payer guidance 

  • Other duties as assigned. 

 

REPORTING TO THIS POSITION:   No direct reports

 

JOB REQUIREMENTS (Knowledge, Skills and Abilities):


  • Communicate well with the public

  • Ability to read, write, and speak English

 

EDUCATION/TRAINING/EXPERIENCE:


  • The individual in this role must possess a National coding certification (AHIMA, AAPC) and have compliance auditing and Specialty Coding Education experience

  • National Certification and Minimum of five years’ Experience in physician coding, Anesthesia/Pain Management, Surgery and E/M, ICD-10, with experience in Academic settings.

  • Proficient in MS Office including Excel, Word and Power Point

  • Experience in Revenue Cycle and Claim processing

  • Demonstrated superior presentation skills

  • Experience managing multiple simultaneous clients or projects with a high level of attention to detail

  • This position covers Maryland and Florida, travel is required

 

PHYSICAL REQUIREMENTS:


  • Requires prolonged sitting, some bending, stooping and stretching

  • Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator and other office equipment

  • Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations. 

  • Requires lifting papers and boxes weighing up to 35 pounds occasionally

  • Requires dexterity to type at least 35 wpm.

 

WORKING CONDITIONS (environment and safety):


  • Work performed in office environment

  • Involves frequent contact with professional staff and managed care organizations

  • Work may be stressful at times

  • Interaction with others is frequent and often disruptive