JR18057 Coding Compliance Auditor I

Florida Cancer Specialists • FL

88d

About The Position

The Coding Compliance Auditor I is responsible for performing both routine and non-routine coding audits under the Direction of the Coding and Billing Compliance Director. The Coding Compliance Auditor I is also responsible for audit reporting, communication of audit outcomes, and following up on any additional audit needs. The Coding Compliance Auditor I assists senior team members with education, government audits, and addressing coding inquiries as needed. Demonstrates working knowledge of all facets of role, relevant regulations, and organizational and departmental policies and procedures. Performs other duties and projects as assigned. Performs all duties in accordance with regulatory requirements and organizational policies and procedures. This individual works independently while also collaborating in a team environment to address coding and billing matters across various departments within FCS.

Requirements

• High School Diploma required.
• Minimum of two (2) years of experience with outpatient specialty Coding required.
• Coding Certification from AHIMA or AAPC required.
• Proficiency with ICD-10 diagnosis coding, HCPCS, and CPT coding required.
• Knowledge of medical record documentation, medical terminology, and coding terminology.
• Strong auditing and review skills.
• Ability to review and interpret government, state, and payor regulations, manuals, and guidance.
• Experience with Electronic Health Records (EHR), Coding software, and Practice Management Systems.
• Analysis & critical thinking; using resources available to solve problems and exercise independent judgment.
• Strong interpersonal skills to include effective verbal and written communication.
• Proficient in Microsoft Excel, Word, Teams, and PowerPoint.
• Solid time management skills with the ability to independently prioritize multiple tasks at once with changing priorities/deadlines.
• Ability to collaborate across various levels of management, departments, and teams.

Nice To Haves

• Professional Evaluation and Management (E/M) coding knowledge preferred.

Responsibilities

• Performs routine coding audits under the Direction of the Coding and Billing Compliance.
• Performs ad-hoc or non-routine coding audits under the Direction of the Coding and Billing Compliance.
• Drafts and prepares audit results and reports to be shared with the FCS providers.
• Reviews and provides timely responses to coding inquiries.
• Assists with follow up education for Providers where required.
• Contributes to the completion of government audits when requested.
• Reviews documentation to ensure coding is supported by medical records.
• Ensures documentation aligns with claim data.
• Contributes to the completion and revision of Training Manuals, PowerPoints and policies and procedures.
• Maintains confidentiality of all information as required by regulations and guidelines.
• Staying abreast of continuously shifting Coding Compliance landscape to ensure FCS remains in compliance with all state, federal, and local regulations, laws, and policies.
• Performs additional tasks as needed to support team and FCS.

Benefits

• Medical and Prescription Drug Coverage
• Vision & Dental Insurance
• Employee Assistance Program (EAP)
• Health Savings Account (HSA) & Flexible Spending Accounts
• Paid Time Off (PTO)
• 401(k) Retirement Plan
• Life Insurance
• Tuition Reimbursement
• Disability Insurance
• Accident Insurance
• Critical Illness
• Hospital Indemnity
• Pet Insurance
• Identity Theft
• Legal Insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED