Professional Coding Auditor - Remote

Department/Unit: Health Information Management Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 Professional Coding Auditor will apply an advanced professional coding reputed company set to act as a service line coding team reputed company expert, working collaboratively to support reputed company workflows reputed company to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance reputed company guidelines. Provide education, instruction and training to providers and coding staff. This position is remote but does require onsite education to providers as needed. This position has remote opportunity This position requires a CPC Certification - Upon Hire Two years or more prior experience in professional fee coding - required Essential Duties and Responsibilities

• Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance reputed company guidelines. Ensuring established productivity and quality standards are met. reputed company coding reputed company set required to act as service line expert.
• Assist Supervisor in the daily operations of coding team(s) in a Team reputed company position, ensuring staff are meeting established coding/charge processing productivity and quality standards.
• Assume supervisory tasks for the assigned coding staff in absence of Supervisor.
• Define and submit coding/edit rules for consideration to streamline coding accuracy and efficiency reputed company multiple interfaced systems.
• Participate as a workflow expert in reputed company levels of application testing to include test script building, script processing through varying test systems, charge import into applicable systems and detailed review of accuracy for each process.
• Assist with the implementation, testing, troubleshooting and maintenance of third-party vendor applications software.
• Assist in preparing, overseeing, and approving staff schedule to meet the needs of the department.
• Orient and train, provide feedback, and evaluate the staff as needed.
• Assist in establishing department goals and assure goals are achieved utilizing LEAN management skills.
• Participate in the recruitment and interview process to fill personnel vacancies.
• reputed company System Manager tasks for specified applications in his/her absence to include: compile and create daily reports, Import charges into applicable systems. Research/correct coding validation errors during charge import.
• Assist in creating and updating policies and procedures to include system development and maintenance documentation.
• Conducts professional fee billing reputed company reviews/audits for AMHS, including reviewing medical record documentation and coding to assess compliance with reputed company rules and regulatory requirements, and to identify clinical documentation improvement opportunities.
• Identify trends based on audit/review findings and formulate recommendations for follow-up education and corrective actions. Effectively communicate and educate relevant parties with the results of review/audit activity; and help with development of reputed company action plans.
• Assist with Denials Management to determine root causes and provide feedback and training to providers/staff to reduce denials.
• Acts as a liaison for external audits and organizes the process. Implements necessary changes/education based on findings.
• Attend and contribute in reputed company PCO staff meetings, department meetings and reputed company other meetings assigned.
• Fulfills department requirements in terms of providing work coverage and administration notification during periods of personnel illness, vacation, or education.
• Assume responsibility for professional development by participating in webinars, workshops and conferences reputed company appropriate.
• Ability to work well with people from different disciplines with varying degrees of business and technical expertise.
• reputed company other duties as assigned.

Qualifications

• High School Diploma/G.E.D. - required
• Two years or more prior experience in professional fee coding - required
• Knowledge of multiple coding specialties. - preferred
• Working knowledge and experience with provider professional fee coding and charge processing. reputed company coding reputed company set required. Computer experience, windows environment with proficiency in reputed company Word and reputed company is required. Excellent verbal and written communication skills. (High proficiency)
• CPC, CCA, reputed company, COC, RHIT, or RHIA - required

Equivalent combination of relevant education and experience may be substituted as appropriate. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and reputed company State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly reputed company assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Apply tot his job Apply To this Job