Compliance Review Specialist- CPC required within seven months

St. Elizabeth Healthcare•Erlanger, KY

About The Position

Reports to the Administrator of Coding and Education, the Compliance Review Specialist is primarily responsible for auditing charts, charges and EMR notes and documenting errors. Facilitates effective communication among CBO, operations, employees, management, physicians and office employees. Represents the CBO employees at the office sites to assist patients with unique or difficult billing issues. Job Title: Compliance Review Specialist BENEFITS: Paid Time Off Medical, Dental, and Vision 403b with Match Opportunity for Career Growth

Requirements

Ability to manage and prioritize multiple tasks, knowledge of Excel, Word, Outlook and PowerPoint and the ability to learn other computer skills.
Must have good organizational skills and work professionally with doctors, hospital administration and management, SEP employees and the public.
Knowledge of Family Practice/Internal Medicine/Pediatric and multi-specialty billing procedures and collection policies.
CPR and ICD10 knowledge.
Skills in establishing and maintaining effective working relations with physicians, management, office employees, and patients.
Knowledge of computer skills and applications.
Excellent communication skills
Demonstrated ability to work successfully in a team-based decision-making culture.
Demonstrated ability to work independently resulting in effective outcomes and on-time performance.
Experience in planning and coordinating multi-disciplinary communications strategies, strategic initiatives, and events.
Must respond and follow through to requests from customers promptly.
Must work carefully and precisely with attention to detail.
Must utilize resources wisely.
Performs duties willingly and with initiative.
Shares necessary information so co-workers can do the same.
Cooperates with other departments and work groups.
H.S. Diploma/GED
CPC required within seven months of acceptance of Compliance Review Specialist position.
CPMA required within 12 months for auditors.
CRC required within 12 months for CPCI.
3+ Years’ experience with direct physician and patient contact.
Minimum of 3 years’ experience in a medical billing office.

Responsibilities

Comply with all applicable laws and regulations.
Maintain a high level of compliance with Billing processes.
Maintain a high level of patient and business confidentiality.
Audit charts, charges and the EMR and prepare reports.
Schedule meetings with physicians, managers and employees to promote education on appropriate billing practices given findings.
Facilitate communication between CBO and office physicians and employees.
Promote cooperative working relations between CBO and managers, employees and physicians.