Coding & Compliance Auditor

American Oncology Network•Urbana, IL
•$21 - $36•Remote

About The Position

The Coding & Compliance Auditor performs E/M audits, summarizes results, communicates outcomes to relevant parties, and completes follow-up and educational needs. The role reviews and completes email and ticket requests and updates assigned lists accurately and promptly. It also contributes to government audits when requested. The auditor provides coding support to physicians and Claims Resolution Specialists, discusses coding trends and issues with the Manager, attends training and seminars, and reports relevant changes or concerns to the Manager or Compliance Officer. The position also supports employee and physician training, updates training materials and procedures, and completes other assigned duties and projects. The role is remote.

Requirements

  • At least 2 years of coding experience; E/M experience in a medical office is preferred.
  • CPC and/or CCS certification; other AHIMA and/or AAPC certifications may be considered.
  • Strong critical-thinking, problem-solving, analytical, decision-making, planning, time-management, organizational, and detail-oriented skills, with the ability to exercise independent judgment.
  • Interpersonal skills, emotional intelligence, diplomacy, tact, conflict management, delegation skills, and diversity awareness; ability to handle sensitive and confidential material and emotionally charged matters.
  • Good command of English and effective oral, written, and presentation communication skills; active listening and balanced feedback skills.
  • Strong customer focus and ability to support quality, performance effectiveness, operational excellence, collaboration, and positive employee, physician, and community relations.
  • Ability to manage time, conflicting priorities, stress, and professional development; self-motivated and able to work independently with limited supervision.
  • Ability to work effectively in a fast-paced, multi-site environment and manage competing priorities and demands from multiple stakeholders and sites.
  • Proficiency in Microsoft Office Word, Excel, PowerPoint, and Outlook.

Nice To Haves

  • E/M coding experience in a medical office.
  • A second language.
  • Other AHIMA and/or AAPC certifications.

Responsibilities

  • Perform E/M audits accurately and on time as assigned to the Auditor Queue, including audit requests from Compliance and other departments.
  • Summarize audit results, communicate outcomes to relevant parties, and complete follow-up or educational needs.
  • Review and complete email and ticket requests and update assigned lists in a timely and accurate manner.
  • Provide coding support to physicians and Claims Resolution Specialists.
  • Meet with the Manager to discuss coding trends and report coding issues.
  • Attend seminars and training sessions and report changes or concerns to the Manager or Compliance Officer.
  • Maintain the confidentiality of patient and employee information.
  • Assist in training new employees on related job duties.
  • Comply with applicable Federal and State laws and regulations and Company and departmental policies and procedures, including IT policies and the Disaster Recovery Plan.
  • Maintain company equipment in safe and working order.
  • Contribute to updating training manuals, PowerPoints, and SOPs; work with peers as they learn coding audit duties; and provide physician and extender training as needed.
  • Use required programs to complete assigned work and follow up as needed, including Excel, Word, Outlook, and SharePoint.
  • Contribute to government audit requests as needed.
  • Perform other duties and projects as assigned.
  • Work overtime when given sufficient notice that it is required.
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