Coding & Compliance Auditor

American Oncology NetworkUrbana, IL
Remote

About The Position

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. Responsible for the review and completion of email requests in a timely manner as well as reviewing and completing ticket requests. Assigned list review and update in a timely and accurate manner. Contributes to the completion of government audits when requested.

Requirements

  • 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)
  • Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills.
  • Must be detailed oriented with the ability to exercise independent judgment.
  • Developed interpersonal skills, emotional intelligence, diplomacy, tact, conflict management, delegation skills, and diversity awareness.
  • Ability to work effectively with sensitive and confidential material and sometimes emotionally charged matters.
  • Good command of the English language.
  • Effective communication skills (oral, written, presentation) is an active listener, and effectively provides balanced feedback.
  • Strong customer focus.
  • Ability to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations.
  • 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, Power Point, and Outlook required.

Nice To Haves

  • Second language is an asset but not required.

Responsibilities

  • 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.
  • Audit Request (Compliance and other departments)
  • 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. This includes but not limited to Excel, word, Outlook, and SharePoint.
  • Contribute to Government Audit Request as needed.
  • Performs other duties and projects as assigned.

Benefits

  • comprehensive health insurance with a robust provider network
  • 401k, which offers a 100% match and investment options
  • generous Paid Time Off (PTO) program
  • professional development programs
  • tuition assistance
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