Auditor, Education Liaison – 2

Role Overview

• Ensure accuracy and completeness of clinical coding for appropriate reimbursement
• Audit documentation for compliance with published guidance, policies, procedures, and coding rules
• Monitor changes in laws, rules, regulations, and code assignments
• Identify and present errors or findings to physicians, management, and staff
• Serve as a resource for clinical compliance issues, billing and coding rules

Requirements

• High school diploma or GED required
• Associates degree in healthcare related field preferred
• Certified Risk Adjustment Coder (CRC)
• Certified Professional Coder (CPC)
• Certified Coding Specialist (CCS)
• Registered Heath Information Technician (RHIT)
• Registered Health Information Administrator (RHIA)
• Three years of hospital or physician coding experience, with one year HCC experience preferred
• One year auditing experience in either hospital or physician auditing with six months HCC auditing preferred
• Extensive knowledge of ICD-10 CM, CPT4, HCPCs and modifiers principles and guidelines
• Extensive knowledge of reimbursement systems and regulations and policies pertaining to documentation and coding

Benefits

• Professional development opportunities
• Health Insurance