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Role Description

Responsible for performing E/M audits, summarizing the results, communicating the outcomes to all parties and completing any follow up or educational needs as required.

• Provide coding support for physicians.
• Provide coding support for Claims Resolution Specialists.
• Meet with Manager to discuss coding trends and report any coding issues.
• Attend seminars and training sessions and report any changes or concerns to Manager/Compliance Officer.
• Maintain and ensure the confidentiality of all patient and employee information at all times.
• Assist in training new employees to related job duties.
• Will be expected to work overtime when given sufficient notice of required overtime.
• Comply with all Federal and State laws and regulations pertaining to patient care, patients’ rights, safety, billing, and collections.
• Adhere to all Company and departmental policies and procedures, including IT policies and procedures and Disaster Recovery Plan.
• Maintain all company equipment in safe and working order.
• Complete E/M audits accurately in a timely manner as assigned to the Auditor Queue.
• Contribute to the review and completion of tickets, emails and/or lists as assigned in a timely and accurate manner.
• Contribute to the updating of Training Manuals, PowerPoints and SOP’s as well as work with peers while they are learning all the required duties of Coding Audits.
• Provide Physician and extender training as needed.
• Proficient in the use of the required programs to accomplish assigned work task and follow up as needed, including but not limited to Excel, Word, Outlook, and SharePoint.
• Contribute to Government Audit Request as needed.
• Performs other duties and projects as assigned.

Qualifications

• 2+ years coding experience with E/M experience in a medical office preferred.
• CPC and/or CCS (Other AHIMA and/or AAPC certifications could be considered).

Requirements

• Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills.
• Developed interpersonal skills, emotional intelligence, diplomacy, tact, conflict management, delegation skills, and diversity awareness.
• Good command of the English language; second language is an asset but not required.
• Effective communication skills (oral, written, presentation) and active listening abilities.
• Strong customer focus with the ability to build an engaging culture of quality, performance effectiveness and operational excellence.
• Effectively manages own time, conflicting priorities, self, stress, and professional development.
• Self-motivated and self-starter with ability to work independently with limited supervision.
• Must be able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites.
• Proficiency in MS Office Word, Excel, PowerPoint, and Outlook required.